Charles Hardy Bercier IV, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

007356 Issued in AL

Practice address

4941 Promenade Pkwy
Bessemer, AL 35022-7304

Phone

(205) 426-1112

NPI assigned

Jun 1, 2023

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• King Dental Services, LLC

  • General Practice Dentistry
  • Bessemer, AL
  • NPI 1245122118
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1396438545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 PROMENADE PKWY",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227304",
            "telephone_number": "205-426-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCIER",
        "first_name": "CHARLES",
        "middle_name": "HARDY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "007356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Beery, P.T,
• Behavior Train LLC
• Brenda B Bell, MD
• Olga V Belotserkovskaya, M.D.
• Kristen Renee Bentley, D.M.D.
• Bessemer Apothecary, Inc
• Bessemer City
• Bessemer Dental Care LLC
• Bessemer Emergency Physicians, LLC.
• Bessemer Eye Clinic P.C.

• Dentist in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.