Brian C. Tieu, M.D., PH.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

23344 Issued in MS

Practice address

281 Trace Colony Park Drive
Suite a
Ridgeland, MS 39157-3915

Phone

(601) 324-4066

NPI assigned

Jul 22, 2011

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Texas Medical Branch at Galveston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Retina Institute of Mississippi, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Ridgeland, MS
  • NPI 1255974309
  Medicare reassignment NPD Authorized official
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Refine Plastic and Hand Surgery PLLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Ridgeland, MS
  • NPI 1750168431
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1962780023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 SUNDIAL RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108772",
            "telephone_number": "601-984-5017",
            "fax_number": "601-984-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 TRACE COLONY PARK DRIVE",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573915",
            "telephone_number": "601-324-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MS",
            "license": "23344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06238338",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Thrailkill
• Three Oaks Behavioral Health of Ridgeland, LLC
• Three Oaks Behavioral Health of Ridgeland, LLC
• Thyme to Heal Counseling & Wellness
• Hanna Le Tiep, DPT
• Tiffany T Lovelady Counseling (Lovelady Counseling)
• Laura F Tilghman, PTA
• Steven Wayne Tincher, MD
• James Tisdale, PT
• Madison Lynn Tolbert, FNP

• Retina Specialist (Ophthalmology) Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Retina Specialist (Ophthalmology) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.

Verify at the official NPI Registry.