Andrew Beasley

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Vestavia, AL

NPI 1093656282 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1093656282
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2105 Longleaf TRL
Vestavia, AL 35243-2931
Phone
(205) 413-7488
NPI assigned
Apr 2, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AL Yes

Addresses

Primary practice location

2105 Longleaf TRL
Vestavia, AL 35243-2931

Mailing address

2105 Longleaf TRL
Vestavia, AL 35243-2931

Other providers in Vestavia, AL

All providers in Vestavia, AL · Student in an Organized Health Care Education/Training Program in Alabama

Sources for this page

Verify at the official NPI Registry.