Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Creek Prevention Center LLC

Organization General Practice Physician · NPI 1659755577

Ivy Creek Prevention Center LLC is a General Practice Physician in Dadeville, Alabama. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2129 Moonbrook Dr
Dadeville, AL 36853-5640
Phone: (334) 514-3848
Fax: (334) 514-3686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1659755577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bruce — Ceo · (256) 675-0412
Other names Stillwaters Family Medicine
NPI enumeratedJuly 10, 2015
Last updated in NPPESMay 19, 2016
Mailing addressPo Box 130, Wetumpka, AL 36092-0003

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