Healthcare Provider Details

I. General information

NPI: 1649884750
Provider Name (Legal Business Name): BRANDON BEAUVOIR ARRIETA MS, DC, DACNB
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 PRINCETON AVE SW STE 112
BIRMINGHAM AL
35211-1340
US

IV. Provider business mailing address

817 PRINCETON AVE SW STE 112
BIRMINGHAM AL
35211-1340
US

V. Phone/Fax

Practice location:
  • Phone: 205-882-1348
  • Fax: 205-777-3962
Mailing address:
  • Phone: 205-882-1348
  • Fax: 205-777-3962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number2652
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: