1. Home
  2. Directory
  3. Georgia
  4. Augusta
  5. Dentist
  6. NPI Profile

DR. BRIAN EDWARD BERGERON DMD
NPI 1063403079
Dentist - Endodontics in Augusta, GA

Active since October 31, 2005PECOS Enrolled
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 721-2151 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Oct 22, 2021, Mar 22, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Brian Edward Bergeron Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN EDWARD BERGERON DMD (NPI 1063403079) is an individual endodontics provider in Augusta, Georgia, licensed in Georgia (DN014614) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063403079
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. BRIAN EDWARD BERGERONCredential: DMD
Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0001
Mailing Address1430 John Wesley Gilbert DriveAugusta, GA 30912-0001 · (706) 721-2151
Phone(706) 721-2151
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1063403079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in GA · DN014614✔ Licensed in TX · 19662✔ Licensed in FL · DN12265
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912
Open in Google Maps ↗

Other Identifiers 2

Medicaid003137074AGA
MedicaidZX4614SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Edward Bergeron Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEOFFREY ALLEN THOMPSON DDS, MS
Dentist (Prosthodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
JOHN KENNETH HAWKINS CRNA, PHD
Nurse Anesthetist, Certified Registered
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. THEODORE D RAVENEL V DMD
Dentist (Endodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
RYAN PATRICK MOONEYHAM DDS
Dentist (Oral and Maxillofacial Surgery)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. ELIZABETH CASTLEBERRY MILLER DDS
Dentist
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2441
JAYNA PATEL
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DANIJELA LAZIC
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DR. ROY A ROCKMAN DDS
Dentist (Pediatric Dentistry)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Bergeron's NPI number?

The NPI number for Brian Bergeron is 1063403079. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Brian Bergeron located?

Brian Bergeron practices at 1430 John Wesley Gilbert Drive, Augusta, GA 30912. The listed phone number is (706) 721-2151.

What is Brian Bergeron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Brian Bergeron enrolled in Medicare?

Yes. Brian Bergeron is registered in the Medicare PECOS enrollment system.

What insurance does Brian Bergeron accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Brian Bergeron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Bergeron was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.