Individual provider Active NPI

Beau Randolph White, MD

  • Orthopaedic Surgery Physician
  • Charlottesville, VA
National Provider Identifier
1982225579
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2026-02788 Issued in NC
Practice address
1215 Lee St Box 801016
Charlottesville, VA 22908-0001
Phone
(434) 924-2663
Fax
(434) 244-4454
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 261467 NC
Orthopaedic Surgery Physician 207X00000X 2026-02788 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X 0116040797 VA

Addresses

Primary practice location

1215 Lee St Box 801016
Charlottesville, VA 22908-0001

Mailing address

1479 Gray Stone CT
Charlottesville, VA 22902-8793
Phone (252) 230-5547

Other practice location 1

130 Mason Farm Rd
3159C Bioinformatics Building
Chapel Hill, NC 25799
Phone (919) 966-9071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200520002841 NC Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9032540372
I20250823000330 VA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9032540372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: bwhite236134@direct.unc.nchie.net
  • Direct secure messaging: bwhite240031@directhisp.wakemed.org
  • Direct secure messaging: bwhite441510@direct.healthsystem.virginia.edu

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1982225579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 GRAY STONE CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028793",
            "telephone_number": "252-230-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST BOX 801016",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-2663",
            "fax_number": "434-244-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Mason Farm Rd",
            "address_2": "3159C Bioinformatics Building",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "25799",
            "country_code": "US",
            "telephone_number": "919-966-9071",
            "fax_number": "919-966-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BEAU",
        "middle_name": "RANDOLPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "261467",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2026-02788",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116040797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.