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 provides General Practice Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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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