Individual provider Active NPI

Brandon James Hawkins, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
National Provider Identifier
1073587663
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4648 Issued in UT
Practice address
110 New Stine Rd
Bakersfield, CA 93309
Phone
(661) 832-1667
Fax
(661) 832-7145
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4648 UT Primary

Addresses

Primary practice location

110 New Stine Rd
Bakersfield, CA 93309

Mailing address

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

Other identifiers 1

IdentifierTypeStateIssuer
E4648OtherCALIC:

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000208 CA Practitioner - Podiatry 8729093794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockdale Podiatry Group IncGroup PAC ID 0143282715, 14 clinicians

Practice addresses (Care Compare)

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

448 W Putnam Ave
Porterville, CA 93257-3321
Phone (661) 832-1667

8307 Brimhall Rd
Suite 1704
Bakersfield, CA 93312-4343
Phone (661) 832-1667

Hospital & facility affiliations

  • Purpose Driven Home Health, LLC Home health agency, Bakersfield, CA, CCN 059545
  • Reliable Healthcare LLC Home health agency, Bakersfield, CA, CCN 757275
  • The Doctor'S Choice Home Health Care Inc. Home health agency, Bakersfield, CA, CCN 757600
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
43.37
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue238
Removal of skin lesions28
Removal of nail tissue2945
Removal or shaving of skin growth2398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4648UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Nora Medical Inc PastSince Oct 20, 2018 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073587663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092605",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NEW STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "E4648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC:",
            "identifier": "E4648",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.