Provider Demographics
NPI:1649884750
Name:ARRIETA, BRANDON BEAUVOIR (MS, DC, DACNB)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:BEAUVOIR
Last Name:ARRIETA
Suffix:
Gender:
Credentials:MS, DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 PRINCETON AVE SW STE 112
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1340
Mailing Address - Country:US
Mailing Address - Phone:205-882-1348
Mailing Address - Fax:205-777-3962
Practice Address - Street 1:817 PRINCETON AVE SW STE 112
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1340
Practice Address - Country:US
Practice Address - Phone:205-882-1348
Practice Address - Fax:205-777-3962
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2652111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology