Physician Compare National (NPI:1811003296)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1811003296
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123162575
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100223000422
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUI
	Individual professional last name
Provider First Name	THIEU
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1961
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8738 N LAMAR BLVD
	Group Practice or individual's line 1 address
City	AUSTIN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	787535424
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5128342035
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y