Physician Compare National (NPI:1770808149)

HEALTHCARE PROVIDER: BRENDA THARIAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1770808149
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456476191
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100917000392
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THARIAN
	Individual professional last name
Provider First Name	BRENDA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	500 MEDICAL CTR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 330
	Group Practice or individual's line 2 address
City	CONROE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773042800
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450222
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CONROE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	670122
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOUSTON METHODIST THE WOODLANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450862
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST LUKE'S THE WOODLANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	670093
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ASPIRE BEHAVIORAL HEALTH OF CONROE, LLC
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1770808149)

HEALTHCARE PROVIDER: BRENDA THARIAN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information