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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANDON FAIRLESS, M.D.

Active

DR. BRANDON FAIRLESS, M.D. is a Pediatric Nephrology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1659802502 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nephrology · PHILADELPHIA, PA

Registration Details

NPI Number
1659802502
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2017 (9.407936160642 yrs)
Last Updated
Oct 15, 2025
Licenses
MD486184 (PA)
322248 (LA)

Practice Information

Address
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA, 191044319
Browse PA providers · Browse ZIP 19104
Phone
2155902449
Primary Specialty
Pediatric Nephrology
2080P0210X
Additional Specialty
Pediatrics

Other Pediatric Nephrology Providers in PHILADELPHIA, PA

Name Credential NPI
KIMBERLY C IRWIN MD 1376547042
ANIL K. MONGIA M.D. 1245215441
DR. JONATHAN DAVID HEILICZER M.D. 1265480248
SANDRA GOMES AMARAL MD, MHS 1700824877
DR. ERUM A HARTUNG MD 1699713115
SUSAN LYNN FURTH M.D. 1295778850
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.