Individual
DR. BRIAN EDWARD BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2151
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2151
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
19662
TX
1223E0200X
Endodontics
Primary
DN014614
GA
1223E0200X
Endodontics
DN12265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137074A
—
GA
05
—
ZX4614
—
SC
Enumeration date
10/31/2005
Last updated
02/19/2026
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