Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent R Fairbanks, AA

Individual provider Anesthesiologist Assistant · NPI 1538418793

Brent R Fairbanks, AA is an Anesthesiology Assistant in Springfield, Missouri. Graduated from Emory University School of Medicine in 2012, 14 years ago. Practices with Phoebe Physician Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
Emory University School of Medicine
Licensed in
MO
In the registry since
2012
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Practice location Address checks out

1235 E Cherokee
Springfield, MO 65804-2203
Phone: (417) 820-2829
Fax: (417) 820-8852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2012028957 (MO)

Record details

NPI number1538418793
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedSeptember 4, 2012
Last updated in NPPESFebruary 22, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Phoebe Physician Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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