IndividualActive
Brent Warren, MD
NPI 1790779254 · Ophthalmology Physician · Statesville, NC
Provider details
- NPI number
- 1790779254
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 200301426 (NC)
Practice location
646 Hartness Rd
Statesville, NC 28677-3423
Phone: (704) 872-4108
Fax: (704) 873-6517
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Registry dates
- Enumerated
- 2005-09-09
- Last updated
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.