Individual provider Active NPI

Brittany Warren Bergeron, D.D.S.

  • General Practice Dentistry
  • Towson, MD
National Provider Identifier
1982036489
Registry record updated Oct 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
115871 Issued in MD
Practice address
515 E. Joppa Road Suite 200
Town Center Cosmetic Dentistry
Towson, MD 21286
Phone
(410) 828-8000
Fax
(419) 828-8001
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 115871 MD Primary

Addresses

Primary practice location

515 E. Joppa Road Suite 200
Town Center Cosmetic Dentistry
Towson, MD 21286

Mailing address

515 E. Joppa Road Suite 200
Towson, MD 21286
Phone (410) 828-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115871MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Town Center Cosmetic Dentistry, LLC CurrentSince Oct 30, 2022 Accepting new patients
Chesapeake Family Dentistry General Practice Past Accepting new patients
Chesapeake Cosmetic and Family Dentistry Past Accepting new patients

Locations

515 E Joppa Rd
Ste 200
Towson, MD 21286
Phone (410) 296-4665

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1982036489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E. JOPPA ROAD SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-828-8000",
            "fax_number": "419-828-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E. JOPPA ROAD SUITE 200",
            "address_2": "TOWN CENTER COSMETIC DENTISTRY",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-828-8000",
            "fax_number": "419-828-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "BRITTANY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "115871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; 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.