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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932526860

Benjamin W Dickey, MD, MPH is a Family Practice in Santa Rosa, California. Qualified in 2014, 12 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

2323 Bethards Dr
Santa Rosa, CA 95405-8500
Phone: (707) 542-1611
Fax: (707) 542-9958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 Nw Barstow St, Waukesha, WI 53188-3771 — (262) 548-6903

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A149307 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932526860
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMarch 28, 2014
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Rosa