1. Home
  2. Directory
  3. Alabama
  4. Russellville
  5. Otolaryngology
  6. NPI Profile

RUSSELLVILLE PHYSICIAN PRACTICES LLC
NPI 1649387523
Otolaryngology in Russellville, AL

Active since August 24, 2006
715 GANDY ST NE, RUSSELLVILLE, AL 35653(256) 332-1800 Get Directions Write a Review

NPPES record last updated: August 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russellville Physician Practices Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELLVILLE PHYSICIAN PRACTICES LLC (NPI 1649387523) is a healthcare organization registered as an otolaryngology in Russellville, Alabama and active in the NPI registry since August 2006. The organization lists Donald J Bivacca, President, as its authorized official.

NPPES Registry Identity

NPI1649387523
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameRUSSELLVILLE PHYSICIAN PRACTICES LLC
Location Address715 GANDY ST NERussellville, AL 35653-1922
Mailing Address715 Gandy St NeRussellville, AL 35653-1922 · (256) 332-1800
Phone(256) 332-1800
Organization SubpartNo
Authorized OfficialDonald J BivaccaPresident · (615) 920-7000
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 17, 2014
✔ NPI 1649387523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
715 GANDY ST NE, Russellville, AL 35653
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedJ747Group #
Medicaid529919480AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD H FISHER III M.D., P.C.
Specialist
715 GANDY ST NE, SUITE B
RUSSELLVILLE, AL 35653
Franklin County (256) 332-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russellville Physician Practices LLC's NPI number?

The NPI number for Russellville Physician Practices LLC is 1649387523. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Russellville Physician Practices LLC located?

Russellville Physician Practices LLC is located at 715 Gandy St NE, Russellville, AL 35653. The listed phone number is (256) 332-1800.

What is Russellville Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Russellville Physician Practices LLC was last updated on August 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.