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Russellville Physician Practices LLC

Surgery Physician in Russellville, AL · enumerated 2010 · authorized official Donald Bivacca, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528377983

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Registry record

Entity type Organization (Type 2)
Legal business name Russellville Physician Practices LLC
Other name <Unavail>
Practice address 523 Gandy St Ne, Suite E, Russellville, AL, 35653
Fax (256) 331-5182
Enumeration date Oct 4, 2010
Last updated in NPPES Oct 4, 2010

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 17151 (AL) Primary

Authorized official

Name Donald Bivacca
Title President

Other identifiers

Identifier Type State Issuer
PENDING Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-10-04. Verify at npiregistry.cms.hhs.gov.
Where is Russellville Physician Practices LLC located?
The practice location on file with NPPES is in Russellville, AL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-04.