Individual
DR. BRENT BLAIR WARREN
Active
Individual
DR. BRENT BLAIR WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200301426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295044
UNISON HEALTH PLAN SC
SC
01
—
136WP
BCBSNC
NC
01
—
188941
MEDCOST
NC
01
—
20096157
SELECT HEALTH OF SC
SC
01
—
2407151
UNITED HEALTHCARE
NC
01
—
7833504
AETNA
—
01
—
81900
CHCARES OF SC
SC
05
—
89136WP
—
NC
05
—
G0142B
—
SC
01
—
P00292839
RAILROAD MEDICARE
—
Enumeration date
09/09/2005
Last updated
04/26/2021
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