Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTHEASTERN PLASTIC SURGERY, LLC
NPI 1174447726
Plastic Surgery in Tuscaloosa, AL

Active since August 06, 2026
100 TOWNCENTER BLVD STE 111D, TUSCALOOSA, AL 35406(205) 330-8820(205) 333-2515 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Plastic Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN PLASTIC SURGERY, LLC (NPI 1174447726) is a healthcare organization registered as a plastic surgery in Tuscaloosa, Alabama and active in the NPI registry since August 2026. The organization maintains 2 additional practice locations and lists Robert P Bolling, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1174447726
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSOUTHEASTERN PLASTIC SURGERY, LLC
Location Address100 TOWNCENTER BLVD STE 111DTuscaloosa, AL 35406-1832
Mailing AddressPo Box 1005Fayette, AL 35555-1090 · (205) 748-0158 · Fax (205) 932-4159
Fax(205) 333-2515
Organization SubpartNo
Authorized OfficialRobert P BollingMd/owner · (205) 442-4986
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
NPI 1174447726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
100 TOWNCENTER BLVD STE 111D, Tuscaloosa, AL 35406

Other Names 1

Other NameRobert P Bolling

Secondary Practice Locations 2

Location 115225 Highway 43 Ste IRussellville, AL 35653-1969 · Phone (205) 748-0158 · Fax (205) 932-4159
Location 21035 Temple Ave NFayette, AL 35555-1923 · Phone (205) 748-0158 · Fax (205) 932-4159

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Plastic Surgery, LLC's NPI number?

The NPI number for Southeastern Plastic Surgery, LLC is 1174447726. It was assigned to this organization in the NPPES registry on August 6, 2026. The provider is also known as Robert P Bolling.

Where is Southeastern Plastic Surgery, LLC located?

Southeastern Plastic Surgery, LLC is located at 100 Towncenter Blvd Ste 111D, Tuscaloosa, AL 35406. The listed phone number is (205) 330-8820.

What is Southeastern Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Southeastern Plastic Surgery, LLC was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.