OrganizationActive
Grant A. Fairbanks, MD PC
NPI 1891008777 · Plastic Surgery Physician · Bountiful, UT
Provider details
- NPI number
- 1891008777
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grant Fairbanks, Provider(801) 701-8688
- License
- 2744901205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
520 Medical Dr
Suite 210
Bountiful, UT 84010-4968
Phone: (801) 268-8838
Street-level locationGet directions
Mailing address
Po Box 1071
Bountiful, UT 84011-1071
Registry dates
- Enumerated
- 2010-07-20
- Last updated
- 2015-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.