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BRANDON SCOTT HENDRICKS DO
NPI 1457094583
Family Medicine in Dixon, CA

Active since April 17, 2022PECOS EnrolledAccepts Medicare Assignment
125 N LINCOLN ST STE G, DIXON, CA 95620(707) 678-1623 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2025, Jul 8, 2025, Apr 17, 2022 (3 updates tracked since 2022).

About Brandon Scott Hendricks Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON SCOTT HENDRICKS DO (NPI 1457094583) is an individual family medicine provider in Dixon, California, licensed in California (20A21579) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2022).

NPPES Registry Identity

NPI1457094583
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRANDON SCOTT HENDRICKSCredential: DO
Location Address125 N LINCOLN ST STE GDixon, CA 95620-3260
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(707) 678-1623
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2022
Enumeration DateApril 17, 2022
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1457094583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A21579
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
125 N LINCOLN ST STE G, Dixon, CA 95620
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Scott Hendricks Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002286234
PECOS Enrollment IDI20250903003450
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Hendricks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation
20 mi
Multi-Specialty
2720 LOW CT
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1184859894 (707) 428-2731

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Hendricks's NPI number?

The NPI number for Brandon Hendricks is 1457094583. It was assigned to this individual provider in the NPPES registry on April 17, 2022.

Where is Brandon Hendricks located?

Brandon Hendricks practices at 125 N Lincoln St Ste G, Dixon, CA 95620. The listed phone number is (707) 678-1623.

What is Brandon Hendricks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brandon Hendricks enrolled in Medicare?

Yes. Brandon Hendricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brandon Hendricks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Hendricks reassigns Medicare benefits to Sutter Valley Medical Foundation (Fairfield, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brandon Hendricks was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.