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

Beau Taylor Vandiver, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861981102

Beau Taylor Vandiver, MD is a Student in an Organized Health Care Education/Training Program in Mountain Brk, Alabama. Licensed in Alabama. Registered with an NPI since 2018.

Licensed in
AL
In the registry since
2018
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

2700 Highway 280 S Ste 300
Mountain Brk, AL 35223-2445
Phone: (205) 930-9595
Fax: (205) 802-7719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary) Taxonomy 2082S0099X · Licence 39047 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861981102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2018
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address3894 Grants Ln, Irondale, AL 35210-5510

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