Active NPI
Brenda Tharian MD PLLC
- Urology Physician
- Conroe, TX
National Provider Identifier
1417363722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BRENDA THARIAN MD PLLC
- Practice address
- 500 Medical Center Blvd
Suite 330
Conroe, TX 77304-2889 - Phone
- (877) 943-2823
- Fax
- (866) 900-6098
- NPI assigned
- Jul 8, 2014
- Last updated
- Aug 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Tharian, MD
- Title
- Physician
- Phone
- (713) 416-0915
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
500 Medical Center Blvd
Suite 330
Conroe, TX 77304-2889
Mailing address
3115 College Park Dr
Suite 107
The Woodlands, TX 77384-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
129 Vision Park Blvd
Ste 301
Shenandoah, TX 77384
Phone (936) 647-2184
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Shenandoah, TX
- NPI 1770808149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408579200000",
"number": "1417363722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 COLLEGE PARK DR",
"address_2": "SUITE 107",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEDICAL CENTER BLVD",
"address_2": "SUITE 330",
"city": "CONROE",
"state": "TX",
"postal_code": "773042889",
"telephone_number": "877-943-2823",
"fax_number": "866-900-6098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA THARIAN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-08",
"last_updated": "2014-08-21",
"status": "A",
"authorized_official_last_name": "THARIAN",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "713-416-0915",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.