DR. BRIAN EDWARD BERGERON (NPI# 1063403079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063403079 |
| Entity Type | Individual |
| Full Name | DR. BRIAN EDWARD BERGERON |
| Credential | D.M.D. |
| Practice Address |
3 Ds/sgd 5955 Zeamer Avenue Elmendorf Afb AK 99506 |
| Practice Telephone | 9075802973 |
| Practice Fax Number | 9075805022 |
| Mailing Telephone | 9075802973 |
| Mailing Fax Number | 9075805022 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
19662 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306239660 | Brian Bergeron | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2015-03-11 |
| 1316997851 | Brian Keith Bergeron | Emergency Medicine | 915 E 1st St, Duluth, MN 55805-2107 | 2006-05-12 |
| Street Address |
3 DS/SGD 5955 ZEAMER AVENUE |
| City | ELMENDORF AFB |
| State | AK |
| Zip Code | 99506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992794804 | Richard Alan Vanderweele | Dentist | 5955 Zeamer Ave, 3rd Ds/sgd, Elmendorf Afb, AK 99506-3702 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316339526 | Matthew Mauger | Dentist | 4001 Lake Otis Pkwy Ste 202, Anchorage, AK 99508 | 2015-02-25 |
| 1497195119 | Jess T Ellis Dds, Ms, Inc | Dentist | 11741 Barr Rd, Anchorage, AK 99516-2164 | 2013-06-26 |
| 1740430586 | Jess Taylor Ellis | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2008-09-29 |
| 1477765394 | Douglas J. Luiten, D.m.d., P.C. | Dentist | 4001 Laurel Street, Suite 208, Anchorage, AK 99508 | 2007-05-04 |
| 1780805838 | Heather R Sulte | Dentist | 2000 Abbott Road, Suite 100, Anchorage, AK 99507 | 2007-05-02 |
| 1699764670 | Orest Mychajlo Harkacz Sr. | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2005-10-20 |
| 1265437321 | Richard A. Siry | Dentist | 2702 Denali St, Ste 200, Anchorage, AK 99503-2747 | 2005-06-16 |
| 1528524733 | Associates In Endodontics | Dentist | 4001 Geist Rd Ste 3, Fairbanks, AK 99709-3569 | 2019-02-12 |
| 1649713074 | Darin Anderson, LLC | Dentist | 800 E Dimond Blvd Ste 3-600, Anchorage, AK 99515-2045 | 2016-12-03 |
| 1952521346 | Douglas J Luiten | Dentist | 4001 Laurel St, Suite 208, Anchorage, AK 99508-5332 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
| City | ELMENDORF AFB |
| Zip Code | 99506 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.