Edwin L Bercier IV, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5548 Issued in LA

Practice address

300 N Polk St
Rayne, LA 70578-6551

Phone

(337) 334-3581

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edwin L Bercier IV DDS

  • Dentist
  • Rayne, LA
  • NPI 1689968695
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003919374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "address_2": "507 S ARENAS ST",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705780804",
            "telephone_number": "337-334-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N POLK ST",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705786551",
            "telephone_number": "337-334-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCIER",
        "first_name": "EDWIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1855481",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Bearb, MS CCC-SLP
• Bryan E Benoit
• Carolyn Benoit, RPSGT
• Bercier Family Dentistry
• Anthony Joseph Bercier, DDS
• Edwin L Bercier III
• Patience Bergeron, PHARMD.
• Bioactive Infusion & Wellness, LLC
• Wendy Lemaire Bouley, RD
• Andrea K Bourque, PHARMD

• General Practice Dentistry in Rayne, LA
• Providers in Rayne, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.