Southeastern Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SOUTHEASTERN PLASTIC SURGERY, LLC

Practice address

100 Towncenter Blvd Ste 111D
Tuscaloosa, AL 35406-1832

Phone

(205) 330-8820

Fax

(205) 333-2515

NPI assigned

Aug 6, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert P Bolling, MD

Title

MD/Owner

Phone

(205) 442-4986

Specialties & licenses 1

Addresses

Other names 1

• Robert P Bolling Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1174447726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551090",
            "telephone_number": "205-748-0158",
            "fax_number": "205-932-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWNCENTER BLVD STE 111D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061832",
            "telephone_number": "205-330-8820",
            "fax_number": "205-333-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Temple Ave N",
            "address_purpose": "LOCATION",
            "city": "Fayette",
            "state": "AL",
            "postal_code": "355551923",
            "country_code": "US",
            "telephone_number": "205-748-0158",
            "fax_number": "205-932-4159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15225 Highway 43 Ste I",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AL",
            "postal_code": "356531969",
            "country_code": "US",
            "telephone_number": "205-748-0158",
            "fax_number": "205-932-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "205-442-4986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert P Bolling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southeast Physician Network, P.C.
• Southeast Physician Network, P.C.
• Southeastern Hearing Services, Inc.
• Southeastern Pain & Rehabilitation Physicians, PC
• Southeastern Plastic Surgery Assoc., PC
• Southeastern Spine Specialists Inc
• Southern Diagnostic Laboratories, LLC
• Southern Family Markets LLC
• Southern NP Associates, LLC
• Southern Surgical Associates LLC

• All providers in Tuscaloosa, AL
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.