IndividualActive
Beau Vandiver, MD
NPI 1861981102 · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Mountain Brk, AL
Provider details
- NPI number
- 1861981102
- Entity type
- Individual
- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Practice location
2700 Highway 280 S Ste 300
Mountain Brk, AL 35223-2445
Phone: (205) 930-9595
Fax: (205) 802-7719
Mailing address
3894 Grants Ln
Irondale, AL 35210-5510
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.