P Praxis·MD
● Active Type 1 · Individual

DR. Brian Edward Bergeron, DMD

Dentist·Augusta, GA· NPI 1063403079 · Enumerated 2005 · 20 years on NPI
Bergeron is 1 of 16 dentist providers in Augusta and 1 of 200 in Georgia.
NPI age
20 years
Enumerated 2005-10-31
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, TX, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 200 active dentist providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
3 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
1430 John Wesley Gilbert Drive
Augusta, GA 309120001
📞 7067212151
Mailing address
1430 John Wesley Gilbert Drive
Augusta, GA 309120001
📞 7067212151

Specialties

  • Dentist Primary
    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...
    GA license #DN014614TX license #19662FL license #DN12265 taxonomy 1223E0200X

Identifiers

TypeValueNotes
05 (GA) 003137074A
05 (SC) ZX4614
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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