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Brandon Scott Hendricks, DO

Family Medicine in Dixon, CA. Individual provider (NPI-1).

NPI number1457094583
StatusActive
Last updated in NPPESSep 18, 2025

Details

NPI
1457094583
Entity type
Individual (NPI-1)
Name
Brandon Scott Hendricks
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2022
Certification date
Sep 18, 2025
Last updated
Sep 18, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20A21579CAYes

Practice location

125 N Lincoln St Ste G
Dixon, CA 95620-3260

Phone 707-678-1623

Mailing address

Po Box 255228
Sacramento, CA 95865-5228

Phone 800-470-0071 · Fax 916-854-6769

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Dixon, CA

All 9 Family Medicine Physician providers in Dixon · All 184 providers in Dixon

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