Organization
RUSSELLVILLE PHYSICIAN PRACTICES LLC
Active
Organization
RUSSELLVILLE PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J BIVACCA (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
715 GANDY ST NE, RUSSELLVILLE, AL 35653-1922
(256) 332-1800
Mailing address
715 GANDY ST NE, RUSSELLVILLE, AL 35653-1922
(256) 332-1800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529919480
—
AL
Enumeration date
08/24/2006
Last updated
08/17/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up