Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IAN ROBERT FAIR PA-C
NPI 1457284440
Physician Assistant - Surgical in Brockton, MA

Active since June 08, 2026PECOS Enrolled
235 N PEARL ST, BROCKTON, MA 02301(508) 427-3000 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ian Robert Fair Pa-c NPPES

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

IAN ROBERT FAIR PA-C (NPI 1457284440) is an individual surgical provider in Brockton, Massachusetts, licensed in Massachusetts (PA102715) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457284440
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameIAN ROBERT FAIRCredential: PA-C
Location Address235 N PEARL STBrockton, MA 02301-1794
Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375
Sole ProprietorNo
Enumeration DateJune 8, 2026
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1457284440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MA · PA102715
235 N PEARL ST, Brockton, MA 02301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ian Robert Fair Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
235 N PEARL ST
BROCKTON, MA 02301
Psychiatric Unit
235 N PEARL ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
235 N PEARL ST
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Physician Assistant
235 N PEARL ST
BROCKTON, MA 02301
Emergency Medicine
235 N PEARL ST
BROCKTON, MA 02301
Dietitian, Registered
235 N PEARL ST
BROCKTON, MA 02301
Physician Assistant (Surgical)
235 N PEARL ST
BROCKTON, MA 02301

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 Ian Fair's NPI number?

The NPI number for Ian Fair is 1457284440. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Ian Fair located?

Ian Fair practices at 235 N Pearl St, Brockton, MA 02301. The listed phone number is (508) 427-3000.

What is Ian Fair's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ian Fair enrolled in Medicare?

Yes. Ian Fair is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Fair was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.