Individual
DAVID BRENNEN THRONEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-3625
Mailing address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-3625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0906W
BCBS
NC
01
—
124971
OPTICARE
NC
01
—
180034437
RAILROAD MEDICARE
NC
01
—
2238830
UNITED HEALTHCARE
NC
01
—
368226
USA MANAGED CARE
NC
01
—
370068
MAMSI
NC
01
—
86924
MEDCOST
NC
05
—
890906W
—
NC
05
—
DN1693
—
SC
01
—
FH7000015
FIRSTCAROLINACARE
NC
01
—
NCK7580355
MEDICARE
NC
Enumeration date
11/04/2005
Last updated
12/20/2023
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