RUSSELLVILLE PHYSICIAN PRACTICES LLC – Otolaryngology Physician, NPI 1649387523

RUSSELLVILLE PHYSICIAN PRACTICES LLC is a healthcare provider. based in Russellville, Alabama. specializing in Otolaryngology Physician. The NPI Number for RUSSELLVILLE PHYSICIAN PRACTICES LLC is 1649387523

Main info

Organization
Name
RUSSELLVILLE PHYSICIAN PRACTICES LLC
NPI
1649387523
Phone
(256) 332-1800
Address
715 GANDY ST NE
Authorized Official
DONALD J BIVACCA PRESIDENT
Enumeration Date
24 August 2006
Last Update Date
17 August 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for RUSSELLVILLE PHYSICIAN PRACTICES LLC

  • 715, Gandy Street Northeast, Russellville, Franklin County, Alabama, 35653, United States

    RUSSELLVILLE, AL 356531922

    Phone: (256) 332-1800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35653)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for RUSSELLVILLE PHYSICIAN PRACTICES LLC?
RUSSELLVILLE PHYSICIAN PRACTICES LLC — NPI 1649387523 — is the standard way to identify this listing.
Does CMS list RUSSELLVILLE PHYSICIAN PRACTICES LLC as active?
Yes — RUSSELLVILLE PHYSICIAN PRACTICES LLC is active in the NPI listing used on this page.
What taxonomy line describes RUSSELLVILLE PHYSICIAN PRACTICES LLC?
For research purposes, treat RUSSELLVILLE PHYSICIAN PRACTICES LLC as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is RUSSELLVILLE PHYSICIAN PRACTICES LLC based?
RUSSELLVILLE PHYSICIAN PRACTICES LLC is tied to Russellville, Alabama in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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