1. Home
  2. Directory
  3. Alabama
  4. Dadeville
  5. General Practice
  6. NPI Profile

STILLWATERS FAMILY MEDICINE
NPI 1659755577
General Practice in Dadeville, AL

Active since July 10, 2015
2129 MOONBROOK DR, DADEVILLE, AL 36853(334) 514-3848(334) 514-3686 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stillwaters Family Medicine NPPES

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

STILLWATERS FAMILY MEDICINE (NPI 1659755577) is a healthcare organization registered as a general practice in Dadeville, Alabama and active in the NPI registry since July 2015. The organization lists Michael D Bruce, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659755577
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameIVY CREEK PREVENTION CENTER LLC
Location Address2129 MOONBROOK DRDadeville, AL 36853-5640
Mailing AddressPo Box 130Wetumpka, AL 36092-0003 · (334) 514-3848 · Fax (334) 514-3686
Phone(334) 514-3848
Fax(334) 514-3686
Organization SubpartNo
Authorized OfficialMichael D BruceCeo · (256) 675-0412
Enumeration DateJuly 10, 2015
Last NPPES UpdateMay 19, 2016
✔ NPI 1659755577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2129 MOONBROOK DR, Dadeville, AL 36853
Open in Google Maps ↗

Other Names 1

Doing Business AsStillwaters Family Medicine

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

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 Ivy Creek Prevention Center LLC's NPI number?

The NPI number for Ivy Creek Prevention Center LLC is 1659755577. It was assigned to this organization in the NPPES registry on July 10, 2015. The provider is doing business as Stillwaters Family Medicine.

Where is Ivy Creek Prevention Center LLC located?

Ivy Creek Prevention Center LLC is located at 2129 Moonbrook Dr, Dadeville, AL 36853. The listed phone number is (334) 514-3848.

What is Ivy Creek Prevention Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ivy Creek Prevention Center LLC was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.