Individual
BRENT ANDREW PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27539
AL
207X00000X
Orthopaedic Surgery Physician
Primary
95473
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938114
—
AL
05
—
009938116
—
AL
05
—
009938117
—
AL
Enumeration date
12/28/2005
Last updated
09/25/2025
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