DR. BRANDON FAIRLESS M.D.
NPI 1659802502
Pediatrics - Pediatric Nephrology in Philadelphia, PA
About Dr. Brandon Fairless M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRANDON FAIRLESS M.D. (NPI 1659802502) is an individual pediatric nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD486184) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Brandon Fairless M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Brandon Fairless reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Brandon Fairless's NPI number?
The NPI number for Brandon Fairless is 1659802502. It was assigned to this individual provider in the NPPES registry on March 22, 2017.
Where is Brandon Fairless located?
Brandon Fairless practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-2449.
What is Brandon Fairless's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Brandon Fairless enrolled in Medicare?
Yes. Brandon Fairless 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.
Which organization bills Medicare for Brandon Fairless's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Fairless reassigns Medicare benefits to Geisinger Clinic (Pottsville, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Fairless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandon Fairless accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brandon Fairless as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brandon Fairless was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Dr. Brandon Fairless, M.D. · NPI 1659802502
Pediatric Nephrology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 22, 2017.
## Identity
- **NPI:** 1659802502 (Entity type: Individual)
- **Enumerated:** March 22, 2017
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** MD486184 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-2449
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Geisinger Clinic (NPI 1043261183, Pottsville, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659802502) · Data from the CMS NPPES public registry.