Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Brian Edward Bergeron, DMD

Endodontics in Augusta, GA · enumerated 2005 · practices at Au Dental Associates.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063403079

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Registry record

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 (706) 721-2151

Enumeration date Oct 31, 2005

Last updated in NPPES Feb 19, 2026

Taxonomy & licenses

1223E0200X Endodontics Dental Providers · License 19662 (TX) Secondary

1223E0200X Endodontics Dental Providers · License DN12265 (FL) Secondary

1223E0200X Endodontics Dental Providers · License DN014614 (GA) Primary

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	-

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.

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Frequently asked questions

Is NPI 1063403079 active?

Yes, as of the latest NPPES snapshot, NPI 1063403079 is active (record last updated 2026-02-19).

How do I verify Brian Bergeron's NPI record?

Cross-check NPI 1063403079 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Geoffrey Thompson Prosthodontics · Augusta, GA NPI 1003807603 Andrew Kious General Practice Dentistry · Augusta, GA NPI 1811978927 Alan Furness General Practice Dentistry · Augusta, GA NPI 1093793465 Allison Buchanan Oral and Maxillofacial Radiology Dentistry · Augusta, GA NPI 1972581981 Edward Chesla Prosthodontics · Augusta, GA NPI 1134108582 Steven Roberts Endodontics · Augusta, GA NPI 1578533469 Gregory Griffin General Practice Dentistry · Augusta, GA NPI 1497725105 John Hawkins Certified Registered Nurse Anesthetist · Augusta, GA NPI 1003880196

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-19.