National Provider Identifier
Brent William Fairchild, PA-C
Brent William Fairchild, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Webster, NY and a listed phone number of (585) 410-0678.
Profile Overview
- NPI
- 1174090393
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 25, 2018
- Last Updated
- July 03, 2023
Practice Location
- 1081 Bright Stream Way
- Webster, NY 14580
Phone: (585) 410-0678
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Endpoints
- bfairchild213176@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1174090393
- Entity Type
- Individual
- Last Name
- Fairchild
- First Name
- Brent
- Middle Name
- William
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 1081 Bright Stream Way
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580
- Mailing Country
- US
- Mailing Phone
- (585) 410-0678
- Practice Street Address
- 1081 Bright Stream Way
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580
- Practice Country
- US
- Practice Phone
- (585) 410-0678
- Enumeration Date
- October 25, 2018
- Last Updated
- July 03, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)