BRENT R FAIRBANKS AA
NPI 1538418793
Anesthesiologist Assistant in Springfield, MO

Q: What is Brent Fairbanks's NPI number?

The NPI number for Brent Fairbanks is 1538418793. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Q: What is Brent Fairbanks's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Fairbanks was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 04, 2012Accepts Medicare Assignment

1235 E CHEROKEE, SPRINGFIELD, MO 65804(417) 820-2829(417) 820-8852 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Brent R Fairbanks Aa NPPES

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

BRENT R FAIRBANKS AA (NPI 1538418793) is an individual anesthesiologist assistant in Springfield, Missouri, licensed in Missouri (2012028957) and active in the NPI registry since September 2012. He is affiliated with Phoebe Putney Memorial Hospital and is a graduate of Emory University School Of Medicine (2012).

NPPES Registry Identity

NPI1538418793

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameBRENT R FAIRBANKSCredential: AA

Location Address1235 E CHEROKEESpringfield, MO 65804-2203

Mailing AddressP.o. Box 2580Springfield, MO 65801-2580 · (417) 829-4620

Phone(417) 820-2829

Fax(417) 820-8852

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2012

Enumeration DateSeptember 4, 2012

Last NPPES UpdateFebruary 22, 2013

✔ NPI 1538418793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in MO · 2012028957

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1235 E CHEROKEE, Springfield, MO 65804

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Other Identifiers 4

OtherP01129106MO · Rr Mcr

Other431560263MO · Tricare

Medicare PIN132680382MO

Medicaid1538418793MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent R Fairbanks Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749433456

PECOS Enrollment IDI20201211001538

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110007

Location417 Third AvenueAlbany, GA 31703 · Dougherty County

Emergency services Birthing friendly

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 Brent Fairbanks's NPI number?

The NPI number for Brent Fairbanks is 1538418793. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Where is Brent Fairbanks located?

Brent Fairbanks practices at 1235 E Cherokee, Springfield, MO 65804. The listed phone number is (417) 820-2829.

What is Brent Fairbanks's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Brent Fairbanks enrolled in Medicare?

Yes. Brent Fairbanks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brent Fairbanks affiliated with any hospitals?

According to CMS data, Brent Fairbanks is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brent Fairbanks was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.