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

Dr. Benjamin Joseph Nichols, MD

Individual provider Dermatology Physician · NPI 1790983237

Dr. Benjamin Joseph Nichols, MD is a Dermatology in Greenbrae, California. Graduated from University of Southern California Keck School of Medicine in 2005, 21 years ago. Practices with Greenbrae Dermatology, a Medical Corporation, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 S Eliseo Dr Ste 207
Greenbrae, CA 94904-2023
Phone: (415) 925-0550
Fax: (415) 925-9062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A97389 (CA)

Record details

NPI number1790983237
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2007
Last updated in NPPESOctober 11, 2017
Mailing address1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Greenbrae Dermatology, A Medical Corporation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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