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BRIAN G. FABIAN MD PA
NPI 1093983884
Dermatology - MOHS-Micrographic Surgery in Bonita Springs, FL

Active since February 14, 2008CLIA Certified · 2 labs
26800 S TAMIAMI TRL STE 310, BONITA SPRINGS, FL 34134(239) 949-0742(239) 949-0768 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian G. Fabian Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN G. FABIAN MD PA (NPI 1093983884) is a healthcare organization registered as a mohs-micrographic surgery in Bonita Springs, Florida and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists Brian George Fabian, President, as its authorized official.

NPPES Registry Identity

NPI1093983884
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBRIAN G. FABIAN MD PA
Location Address26800 S TAMIAMI TRL STE 310Bonita Springs, FL 34134-4348
Mailing Address26800 S Tamiami Trl Ste 310Bonita Springs, FL 34134-4348 · (239) 949-0742 · Fax (239) 949-0768
Phone(239) 949-0742
Fax(239) 949-0768
Organization SubpartNo
Authorized OfficialBrian George FabianPresident · (239) 949-0742
Enumeration DateFebruary 14, 2008
✔ NPI 1093983884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in FL · ME75652
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
26800 S TAMIAMI TRL STE 310, Bonita Springs, FL 34134
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN43327AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1013827

Brian G Fabian MD PA · Bonita Springs, FL
Active · expires Aug 17, 2027
CLIA Number10D1013827
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDr. Brian G. Fabian
Laboratory Phone(239) 949-0742
Laboratory LocationBrian G Fabian MD PA26800 S Tamiami Trl Ste 390, Bonita Springs, FL 34134
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D1036214

Brian G Fabian MD PA · Fort Myers, FL
Active · expires Feb 7, 2027
CLIA Number10D1036214
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Brian G. Fabian
Laboratory Phone(239) 949-0742
Laboratory LocationBrian G Fabian MD PA7560 Winkler Rd, Fort Myers, FL 33908
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETAMINE HEALTH CENTERS AT BONITA SPRINGS, LLC
Clinic/Center (Health Service)
26800 S TAMIAMI TRL STE 310
BONITA SPRINGS, FL 34134
Lee County (305) 856-9442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian G. Fabian MD PA's NPI number?

The NPI number for Brian G. Fabian MD PA is 1093983884. It was assigned to this organization in the NPPES registry on February 14, 2008.

Where is Brian G. Fabian MD PA located?

Brian G. Fabian MD PA is located at 26800 S Tamiami Trl Ste 310, Bonita Springs, FL 34134. The listed phone number is (239) 949-0742.

What is Brian G. Fabian MD PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Brian G. Fabian MD PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Brian G. Fabian MD PA was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.