Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Anthony Nicotera, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407353790

Benjamin Anthony Nicotera, MD is a Student in an Organized Health Care Education/Training Program in O Fallon, Illinois. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407353790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESApril 12, 2018
Mailing address395 State St, Right Side, Amherst, MA 01002

Other providers in O Fallon