Brandon Scott Hendricks, DO
Individual provider Active NPI Family Medicine Physician · Dixon, CA
NPI 1457094583 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1457094583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A21579 (CA)
- Practice address
- 125 N Lincoln St Ste G
Dixon, CA 95620-3260 - Phone
- (707) 678-1623
- NPI assigned
- Apr 17, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sutter Valley Medical Foundation
Practice addresses (Care Compare)
125 N Lincoln St
Dixon, CA 95620-3260
Phone (707) 678-1623
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
- Sutter Care at Home
- Sutter Davis Hospital
- Sutter Medical Center, Sacramento
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250903003450 | CA | Practitioner - Family Practice | 6002286234 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A21579 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Sutter Valley Medical Foundation | Family Medicine | Current |
Accepting new patients |
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
125 N Lincoln St
Ste G
Dixon, CA 95620
Phone (707) 678-1623
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
250 W Main St
Woodland, CA 95695
Phone (916) 668-6100
Interoperability endpoints
- bhendricks609091@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A21579 | CA | Yes |
Addresses
Primary practice location
125 N Lincoln St Ste G
Dixon, CA 95620-3260
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other providers in Dixon, CA
- Karrie Suzanne Gonzales
- Sasha Jordan Gould
- Margie Louise Hackett
- Annelise Kathryn Haile
- Leslie Rhea Hanagan
- G Lawrence Holloway
- Tanea Ingram
- Robin Jackson
- Jcabreras, LLC
- Melony Rene Johnson
All providers in Dixon, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.