Healthcare Provider Details

I. General information

NPI: 1912182312
Provider Name (Legal Business Name): BENJAMIN ANDREW BRICHLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SIERRA COLLEGE DR STE 105
GRASS VALLEY CA
95945-5084
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 530-273-3377
  • Fax: 530-273-3387
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA99058
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA99058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: