Individual provider · Type 1 NPI

Braden Fairbanks, MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1992550057 Active

Practice location

619 19th St S
Birmingham, AL 35249-6810

Call (205) 934-6525 Map

Fax (205) 975-0232

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992550057

Braden Fairbanks, MD's National Provider Identifier is 1992550057, issued on Apr 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on May 25, 2026.