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Dr. Brian Edward Bergeron , DMD

Dentist - Endodontics • Augusta, GA

Active NPI 1063403079 Individual Practitioner Male Practitioner
Practice location in NPPES

1430 John Wesley Gilbert Drive
Augusta, GA 309120001

Call 7067212151 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Telephone 7067212151
Organization at the Same NPPES Address or Phone
Au Dental Associates Facility NPI 1457541781

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $30.03 across 3 records.

By nature of payment

  • Food and Beverage: $30.03 across 3 records.

Reporting-company totals

  • NuSmile, Ltd.: $30.03 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bergeron has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Bergeron as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

14 active clinicians are listed under Dentist - Endodontics with a practice address in Augusta, GA (154 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $30.03.

Manufacturer Payment Nature Product Type Amount ($)
NuSmile, Ltd.
Food and Beverage
Cash or cash equivalent
AB - ZARC System General $15.76
NuSmile, Ltd.
Food and Beverage
Cash or cash equivalent
AB - ZARC System General $9.00
NuSmile, Ltd.
Food and Beverage
Cash or cash equivalent
AB - ZARC System General $5.27

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-19
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES GA DN014614

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.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES TX 19662

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.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES FL DN12265

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
003137074A (GA)
Medicaid ID
ZX4614 (SC)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - ORAL SURGERY

Medicare Enrollment ID

I20160311001476

Enrollment State Jurisdiction

GA

PECOS Control ID

0244536597

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1831762459

Doctor of Dental Medicine

Dr. Frank Bishop , DMD

Dentist - Endodontics

NPI 1053399360

Doctor of Dental Medicine

NPI 1194988337

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2021

Dentist (license number reported to NPPES: TX 19662)

👤
Provider Name / Credentials Updated March 22, 2021

Recorded as BRIAN BERGERON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2021

Dentist (license number reported to NPPES: FL DN12265)

📍
Updated Practice Location February 24, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212151)

📍
Updated Business Mailing Address February 24, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212151)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Dentist (license number reported to NPPES: GA DN014614)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 3 DS/SGD, 5955 ZEAMER AVENUE, ELMENDORF AFB, AK 99506 (Tel: 9075802973)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3 DS/SGD, 5955 ZEAMER AVENUE, ELMENDORF AFB, AK 99506 (Tel: 9075802973)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as BRIAN BERGERON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: TX 19662)

🟢
Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063403079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2005
Last Update: February 19, 2026
Sole Proprietor: No

Other Dentist - Endodontics Specialists in Augusta

All Dentist - Endodontics Specialists in Augusta

Mailing Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Phone: 7067212151

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.