Active NPI
Brenda Tharian, M.D.
- Urology Physician
- Shenandoah, TX
National Provider Identifier
1770808149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- N6066
- Practice address
- 129 Vision Park Blvd Ste 301
Shenandoah, TX 77384-3024 - Phone
- (936) 647-2184
- Fax
- (936) 647-2201
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | N6066 | TX | Primary |
Addresses
Primary practice location
129 Vision Park Blvd Ste 301
Shenandoah, TX 77384-3024
Mailing address
129 Vision Park Blvd Ste 301
Shenandoah, TX 77384-3024
Phone (936) 647-2184
Other practice location 1
500 Medical Center Blvd
Suite 330
Conroe, TX 77304-2889
Phone (936) 647-2184
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP10023442 | Other | TX | BASIC PERMIT |
| N6066 | Other | TX | TEXAS MEDICAL LICENSE |
| P01029717 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Texas a & M University System, HSC, College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
129 Vision Park Blvd
Suite 301
Shenandoah, TX 77384-3024
Phone (936) 647-2184
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Houston Methodist the Woodlands Hospital
- Aspire Hospital
- Houston Methodist Willowbrook Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N6066 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Oak Urology Center PA | Urology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHFHCA/Endpoint/JHFHCA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Conroe, TX
- NPI 1417363722
-
- Urology Physician
- Houston, TX
- NPI 1619013950
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Conroe, TX
- NPI 1093955296
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1114340080
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1770808149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 VISION PARK BLVD STE 301",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843024",
"telephone_number": "936-647-2184",
"fax_number": "936-647-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 VISION PARK BLVD STE 301",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843024",
"telephone_number": "936-647-2184",
"fax_number": "936-647-2201"
}
],
"practiceLocations": [
{
"address_1": "500 Medical Center Blvd",
"address_2": "Suite 330",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773042889",
"country_code": "US",
"telephone_number": "936-647-2184",
"fax_number": "936-647-2201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THARIAN",
"first_name": "BRENDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "N6066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BASIC PERMIT",
"identifier": "BP10023442",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "N6066",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01029717",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.