Brent Fairchild, PA-C
NPI 1174090393 · Physician Assistant · Webster, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brent Fairchild, PA-C is a Physician Assistant provider in Webster, NY (NPI 1174090393).
Provider details
- NPI number
- 1174090393
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 025179 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2023-07-03
- Certified
- 2020-07-16
Frequently asked questions
- What is Brent Fairchild's NPI number?
- Brent Fairchild's National Provider Identifier (NPI) is 1174090393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brent Fairchild's specialty?
- Brent Fairchild is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brent Fairchild located?
- Brent Fairchild's practice location on file with NPPES is 1081 Bright Stream Way, Webster, NY 14580.
- What is Brent Fairchild's phone number?
- The practice phone number listed in the NPPES registry for Brent Fairchild is (585) 410-0678.
- Does Brent Fairchild accept Medicare?
- Brent Fairchild is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brent Fairchild's NPI active?
- Yes — Brent Fairchild's NPI (1174090393) is active in the NPPES registry as of the last update on 2023-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.