Dr. Brian Edward Bergeron, DMD
Dr. Brian Edward Bergeron is a Endodontics provider (Dentist) practicing in Augusta, GA, registered in the NPPES registry with NPI 1063403079 since 2005. The credential DMD stands for Doctor of Medicine in Dentistry. Practices at Au Dental Associates (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063403079 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Brian Edward Bergeron |
| Credential | DMD |
| Sex | Male |
| Practice address | 1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA, 30912 |
| Phone | 7067212151 |
| Enumeration date | 2005-10-31 |
| Last updated in NPPES | 2026-02-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223E0200X | Endodontics | Secondary | 19662 | TX |
| 1223E0200X | Endodontics | Secondary | DN12265 | FL |
| 1223E0200X | Endodontics | Primary | DN014614 | GA |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003137074A | Medicaid | GA | — |
| ZX4614 | Medicaid | SC | — |
Copy-ready billing details
Provider: Brian Bergeron, DMD NPI: 1063403079 Taxonomy: 1223E0200X (Endodontics) Address: 1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA, 30912
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003807603 | Geoffrey Thompson | Individual | Prosthodontics | Augusta, GA |
| 1811978927 | Andrew Kious | Individual | General Practice Dentistry | Augusta, GA |
| 1093793465 | Alan Furness | Individual | General Practice Dentistry | Augusta, GA |
| 1972581981 | Allison Buchanan | Individual | Oral and Maxillofacial Radiology Dentistry | Augusta, GA |
| 1134108582 | Edward Chesla | Individual | Prosthodontics | Augusta, GA |
| 1578533469 | Steven Roberts | Individual | Endodontics | Augusta, GA |
| 1497725105 | Gregory Griffin | Individual | General Practice Dentistry | Augusta, GA |
| 1811968183 | Rhoda Sword | Individual | General Practice Dentistry | Augusta, GA |
Verify this record
Cross-check NPI 1063403079 against the authoritative CMS record: view Dr. Brian Edward Bergeron on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-19.