Individual provider Active NPI

Brandon Hawra, MD

  • Surgery Physician
  • Sacramento, CA
National Provider Identifier
1265322879
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A54247380 Issued in CA
Practice address
1555 Bartlett LN
Sacramento, CA 95815-3694
Phone
(916) 277-9578
NPI assigned
Jul 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 5CP6QAJQ7D6722J8V7XE PA
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A54247380 CA Primary

Addresses

Primary practice location

1555 Bartlett LN
Sacramento, CA 95815-3694

Mailing address

1555 Bartlett LN
Sacramento, CA 95815-3694
Phone (916) 277-9578

Other names 1

  • B.Hawara H. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54247380CAMDSurgery Physician
5CP6QAJQ7D6722J8V7XEPAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1265322879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARTLETT LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153694",
            "telephone_number": "916-277-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARTLETT LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153694",
            "telephone_number": "916-277-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWRA",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "5CP6QAJQ7D6722J8V7XE",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A54247380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B.HAWARA",
            "last_name": "H.",
            "credential": "M.S. MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.