Active NPI
Brandon Jackson Painter, MD
- Surgery Physician
- Sonora, CA
National Provider Identifier
1417516253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A180745
- Practice address
- 1000 Greenley Rd
Sonora, CA 95370-5200 - Phone
- (209) 536-5750
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A180745 | CA | Primary |
Addresses
Primary practice location
1000 Greenley Rd
Sonora, CA 95370-5200
Mailing address
1000 Greenley Rd
Sonora, CA 95370-5200
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sonora Community Hospital
Practice addresses (Care Compare)
193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100
680 Guzzi LN
Suite 106
Sonora, CA 95370-5288
Phone (209) 536-5770
Hospital & facility affiliations
- Adventist Health Sonora
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 22 |
| Melanoma (skin cancer) excision | 18 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180745 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Surgery | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Past | Accepting new patients |
Locations
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100
680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792
193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124
Interoperability endpoints
- bpainter134906@direct.llu.edu
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
-
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
- Family Medicine Physician
- Groveland, CA
- NPI 1356332274
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738454400000",
"number": "1417516253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GREENLEY RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953705200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GREENLEY RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953705200",
"telephone_number": "209-536-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER",
"first_name": "BRANDON",
"middle_name": "JACKSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2025-02-02",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A180745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.