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BEAU TAYLOR VANDIVER MD
NPI 1861981102
Plastic Surgery - Plastic Surgery Within the Head and Neck in Mountain Brk, AL

Active since May 02, 2018PECOS Enrolled
2700 HIGHWAY 280 S STE 300, MOUNTAIN BRK, AL 35223(205) 930-9595(205) 802-7719 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2023, May 2, 2018 (2 updates tracked since 2018).

About Beau Taylor Vandiver Md NPPES

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

BEAU TAYLOR VANDIVER MD (NPI 1861981102) is an individual plastic surgery within the head and neck provider in Mountain Brk, Alabama, licensed in Alabama (39047) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861981102
Entity TypeIndividualMale
Primary Taxonomy2082S0099X
Provider Legal NameBEAU TAYLOR VANDIVERCredential: MD
Location Address2700 HIGHWAY 280 S STE 300Mountain Brk, AL 35223-2445
Mailing Address3894 Grants LnIrondale, AL 35210-5510
Phone(205) 930-9595
Fax(205) 802-7719
Sole ProprietorNo
Enumeration DateMay 2, 2018
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1861981102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License✔ Licensed in AL · 39047
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2700 HIGHWAY 280 S STE 300, Mountain Brk, AL 35223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beau Taylor Vandiver Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Beau Vandiver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rousso Facial Plastic Surgery Clinic PC
Same address
Specialist
2700 HIGHWAY 280 S, SUITE 300 WEST
Birmingham, AL 35223
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1225140627 (205) 930-9595

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA DUCK MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2700 HIGHWAY 280 S STE 300
MOUNTAIN BRK, AL 35223
Jefferson County (205) 930-9595

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 Beau Vandiver's NPI number?

The NPI number for Beau Vandiver is 1861981102. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Beau Vandiver located?

Beau Vandiver practices at 2700 Highway 280 S Ste 300, Mountain Brk, AL 35223. The listed phone number is (205) 930-9595.

What is Beau Vandiver's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

Is Beau Vandiver enrolled in Medicare?

Yes. Beau Vandiver is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beau Vandiver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beau Vandiver reassigns Medicare benefits to Rousso Facial Plastic Surgery Clinic PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beau Vandiver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beau Vandiver accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Beau Vandiver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beau Vandiver was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.