Brian Edward Bergeron in Augusta - Endodontics
Brian Edward Bergeron - NPI 1063403079
Brian Edward Bergeron is a Endodontics in Augusta, Georgia. Brian Edward Bergeron practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Brian Edward Bergeron is 1063403079. The last update date is 2023-04-13.
Brian Edward Bergeron's current location address is 1430 John Wesley Gilbert Drive, Augusta, Georgia. You can contact this provider via phone number 7067212151. The mailing address for Brian Edward Bergeron is 1430 John Wesley Gilbert Drive, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Edward Bergeron |
|---|---|
| Address | 1430 John Wesley Gilbert Drive, Augusta, Georgia |
| Phone Number | 7067212151 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1063403079 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2023-04-13 |
Provider Mailing Address Detail
| Address | 1430 John Wesley Gilbert Drive |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309120001 |
| Phone Number | 7067212151 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 19662 |
|
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 eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003137074A | GA | -- | |
| ZX4614 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian Edward Bergeron by the Centers for Medicare & Medicaid Services (CMS)?
The Brian Edward Bergeron has been assigned the NPI (National Provider Identifier) 1063403079. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Brian Edward Bergeron located?
The Brian Edward Bergeron is located at 1430 John Wesley Gilbert Drive, Augusta, GA 309120001.
What is the area of specialization for Brian Edward Bergeron, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Edward Bergeron is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date did Brian Edward Bergeron receive its 1063403079 assignment from the Centers for Medicare & Medicaid Services?
The Brian Edward Bergeron was assigned its 1063403079 on 2005-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Brian Edward Bergeron most recently updated or revised?
The details related to Brian Edward Bergeron, including its address, specialty, and other relevant information, were last updated or revised on 2023-04-13.