Individual provider · Type 1 NPI

Brandon Fairless, MD

Pediatric Nephrology Physician · Philadelphia, PA

NPI number 1659802502 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-2449 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nephrology Physician Primary 2080P0210XMD486184 (PA)
Pediatrics Physician 208000000X322248 (LA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

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About NPI 1659802502

Brandon Fairless, MD's National Provider Identifier is 1659802502, issued on Mar 22, 2017. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 15, 2025.