Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beau Randolph White, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982225579

Beau Randolph White, MD is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St Box 801016
Charlottesville, VA 22908-0001
Phone: (434) 924-2663
Fax: (434) 244-4454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 Mason Farm Rd, Chapel Hill, NC 25799 — (919) 966-9071

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 0116040797 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 261467 (NC)

Record details

NPI number1982225579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 5, 2020
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address1479 Gray Stone Ct, Charlottesville, VA 22902-8793

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