1. Home
  2. Directory
  3. Utah
  4. Bountiful
  5. Plastic Surgery
  6. NPI Profile

GRANT A. FAIRBANKS, MD PC
NPI 1891008777
Plastic Surgery in Bountiful, UT

Active since July 20, 2010
520 MEDICAL DR, SUITE 210, BOUNTIFUL, UT 84010(801) 268-8838 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grant A. Fairbanks, Md Pc NPPES

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

GRANT A. FAIRBANKS, MD PC (NPI 1891008777) is a healthcare organization registered as a plastic surgery in Bountiful, Utah and active in the NPI registry since July 2010. The organization lists Grant A Fairbanks, Provider, as its authorized official.

NPPES Registry Identity

NPI1891008777
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameGRANT A. FAIRBANKS, MD PC
Location Address520 MEDICAL DR, SUITE 210Bountiful, UT 84010-4968
Mailing AddressPo Box 1071Bountiful, UT 84011-1071 · (801) 701-8688 · Fax (801) 701-8689
Phone(801) 268-8838
Organization SubpartNo
Authorized OfficialGrant A FairbanksProvider · (801) 701-8688
Enumeration DateJuly 20, 2010
Last NPPES UpdateNovember 20, 2015
✔ NPI 1891008777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in UT · 2744901205
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
520 MEDICAL DR, Bountiful, UT 84010
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI50103UT

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

Other Providers at the Same Location NPPES 17

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

BRYAN BARTHOLOMEW DO PC
Internal Medicine
520 MEDICAL DR, SUITE 200
BOUNTIFUL, UT 84010
Davis County (801) 294-9333
TODD DAYNES MD
Ophthalmology
520 MEDICAL DR, SUITE 201
BOUNTIFUL, UT 84010
Davis County (801) 294-8855
BOUNTIFUL INTERNAL MEDICINE & PULMONOLOGY ASSOCIATES LLC
Internal Medicine (Pulmonary Disease)
520 MEDICAL DR, SUITE 200
BOUNTIFUL, UT 84010
Davis County (801) 294-9333
G RICHARD ELLIS PA-C
Physician Assistant
520 MEDICAL DR, SUITE #310
BOUNTIFUL, UT 84010
Davis County (801) 397-3000
NANCY A. WEBER PA-C
Physician Assistant
520 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Davis County (801) 296-6665
JOHN B LYMAN MD PC
Ophthalmology
520 MEDICAL DR, SUITE 201
BOUNTIFUL, UT 84010
Davis County (801) 292-8878
VAL R HANSEN M.D.
Internal Medicine
520 MEDICAL DR, STE 300
BOUNTIFUL, UT 84010
Davis County (801) 295-9467
GINA MARKOS CAPPS CPNP
Nurse Practitioner (Pediatrics, Critical Care)
520 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 292-1464

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 Grant A. Fairbanks, MD PC's NPI number?

The NPI number for Grant A. Fairbanks, MD PC is 1891008777. It was assigned to this organization in the NPPES registry on July 20, 2010.

Where is Grant A. Fairbanks, MD PC located?

Grant A. Fairbanks, MD PC is located at 520 Medical Dr Suite 210, Bountiful, UT 84010. The listed phone number is (801) 268-8838.

What is Grant A. Fairbanks, MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Grant A. Fairbanks, MD PC was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.