Active NPI 1235275900 Individual Practitioner Male Practitioner

Dr. Prosperity Ezeanuna , MD

Internal Medicine - Nephrology • Bryan, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prosperity Ezeanuna, MD is a certified Internal Medicine - Nephrology practicing in Bryan, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Ezeanuna delivers high-quality medical care to the local community at 1673 BRIARCREST DR STE 100B.

Dr. Ezeanuna accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1673 Briarcrest Dr Ste 100b

Bryan, TX 778022756

Telephone 9799855339

Fax 9797053505

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Bryan, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -3.6 yrs vs City Avg

City Avg: 33.6 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Bryan, TX (1192 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ezeanuna (30 Years) 30 Yrs

Bryan Specialty Average (33.6 Years) 33.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	182	38	$110.00	$74.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	38	$285.00	$164.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	12	$160.00	$112.78
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$107.00	$81.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	194	44	$110.00	$76.01
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	109	15	$475.00	$338.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	47	$285.00	$166.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	21	$154.18	$110.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	115	18	$475.00	$345.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	510	70	$110.00	$69.53
J2250 Injection, midazolam hydrochloride, per 1 mg	242	86	$10.00	$0.12
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	223	132	$27.00	$0.11
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	217	129	$30.50	$12.25
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	168	104	$114.11	$40.01
J3010 Injection, fentanyl citrate, 0.1 mg	168	100	$20.00	$0.70
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	151	94	$144.00	$50.45
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	132	31	$475.00	$351.42
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	108	73	$3465.00	$1297.30
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	70	52	$1633.00	$708.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	51	$240.00	$131.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	18	$160.00	$99.96
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	42	33	$379.90	$154.39
36215 Insertion of catheter into chest or arm artery	41	33	$2662.58	$558.74
36907 Balloon dilation of dialysis segment with review by radiologist	37	26	$2073.00	$657.94
96375 Injection of additional new drug or substance into vein	24	13	$45.00	$16.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$285.00	$193.71
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	13	$164.45	$92.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$259.65	$109.20
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	17	16	$396.00	$283.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$164.88	$126.50
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	15	13	$6465.00	$2437.69
36589 Removal of central venous catheter for infusion	14	13	$403.13	$128.79
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$178.73	$70.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	486	202	$27.01	$0.11
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	479	202	$30.50	$12.42
J2250 Injection, midazolam hydrochloride, per 1 mg	462	139	$10.00	$0.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	435	80	$110.00	$71.20
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	357	154	$132.60	$38.04
J3010 Injection, fentanyl citrate, 0.1 mg	352	151	$20.00	$0.85
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	349	42	$475.00	$281.43
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	264	129	$3465.00	$1266.79
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	264	137	$144.00	$49.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	37	$160.00	$94.37
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	133	87	$1633.00	$643.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	120	76	$240.92	$135.09
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	117	71	$379.90	$157.69
36215 Insertion of catheter into chest or arm artery	116	71	$2662.58	$581.68
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	82	34	$396.00	$235.88
36907 Balloon dilation of dialysis segment with review by radiologist	72	35	$2073.00	$674.59
96375 Injection of additional new drug or substance into vein	55	36	$52.43	$15.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$259.65	$105.14
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	43	27	$30.00	$9.85
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	42	24	$164.45	$87.68
75860 Radiological supervision and interpretation of imaging of vein system in head or neck vein	42	27	$372.00	$128.56
36581 Replacement of tunneled central venous tube	35	18	$1819.35	$785.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	15	$163.71	$106.10
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	31	21	$6465.00	$2358.48
36589 Removal of central venous catheter for infusion	26	26	$403.13	$151.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$104.23	$44.20
36909 Permanent blockage of hemodialysis circuit with review by radiologist	21	17	$5550.00	$1858.15
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	16	16	$15800.00	$4995.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$285.00	$188.64
71045 X-ray of chest, 1 view	11	11	$53.00	$24.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	668	132	$138.10	$70.78
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	605	225	$33.15	$0.12
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	562	219	$122.47	$36.82
J2250 Injection, midazolam hydrochloride, per 1 mg	505	161	$10.00	$0.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	400	171	$110.56	$47.90
J3010 Injection, fentanyl citrate, 0.1 mg	400	170	$16.43	$0.81
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	375	46	$475.00	$270.95
96375 Injection of additional new drug or substance into vein	360	97	$79.14	$15.82
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	326	152	$2024.40	$789.40
93041 Electrocardiogram (ecg) 1 to 3 leads	323	175	$15.01	$5.28
J1644 Injection, heparin sodium, per 1000 units	307	165	$24.74	$0.20
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	262	172	$35.29	$12.14
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	259	125	$3000.00	$1134.10
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	180	113	$1284.19	$565.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	173	96	$240.00	$133.08
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	146	83	$604.49	$158.47
36215 Insertion of catheter into chest or arm artery	145	82	$4339.07	$534.22
37246 Balloon dilation of artery with review by radiologist, initial artery	80	52	$4100.00	$1718.18
36907 Balloon dilation of dialysis segment with review by radiologist	79	42	$1536.30	$684.76
J1580 Injection, garamycin, gentamicin, up to 80 mg	75	60	$15.00	$1.71
J2405 Injection, ondansetron hydrochloride, per 1 mg	69	13	$20.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	46	$216.28	$103.72
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	60	33	$396.00	$232.30
J0690 Injection, cefazolin sodium, 500 mg	58	49	$15.00	$0.82
75860 Radiological supervision and interpretation of imaging of vein system in head or neck vein	43	33	$1545.58	$134.81
J3490 Unclassified drugs	39	20	$126.92	$0.98
76000 Imaging guidance for procedure, 60 minutes or less	38	28	$100.00	$44.75
36589 Removal of central venous catheter for infusion	37	31	$1280.24	$119.10
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	36	18	$20.00	$6.04
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	36	20	$29.17	$9.94
J2997 Injection, alteplase recombinant, 1 mg	33	15	$109.39	$86.29
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	33	31	$11500.45	$5000.81
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$194.19	$71.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	25	$475.01	$101.87
36909 Permanent blockage of hemodialysis circuit with review by radiologist	31	27	$3374.19	$1836.74
36012 Insertion of catheter into vein	30	22	$2500.00	$424.11
37242 Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance	27	20	$7189.63	$6665.32
82947 Blood glucose (sugar) level	26	24	$20.00	$4.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	16	$392.55	$85.55
J1200 Injection, diphenhydramine hcl, up to 50 mg	19	15	$15.00	$0.62
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	18	15	$5270.56	$2237.98
99239 Hospital discharge day management, more than 30 minutes	17	17	$540.16	$104.73
36904 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation	17	13	$3500.00	$1360.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$259.65	$103.99
36011 Insertion of catheter into vein	14	12	$1600.00	$430.94
J2765 Injection, metoclopramide hcl, up to 10 mg	13	11	$10.00	$1.48
76937 Ultrasonic guidance for blood vessel access	13	12	$421.28	$32.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	988	201	$166.63	$68.96
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	631	216	$35.00	$0.12
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	613	212	$40.00	$12.17
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	604	213	$120.00	$43.67
96375 Injection of additional new drug or substance into vein	528	123	$80.00	$17.09
J2250 Injection, midazolam hydrochloride, per 1 mg	454	166	$10.00	$0.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	434	180	$100.00	$48.60
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	432	57	$475.00	$266.25
J3010 Injection, fentanyl citrate, 0.1 mg	418	173	$15.00	$0.56
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	362	152	$1500.00	$638.07
J2405 Injection, ondansetron hydrochloride, per 1 mg	344	39	$20.00	$0.09
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	307	127	$3000.00	$1221.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	220	134	$245.33	$128.81
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	166	98	$1200.00	$543.58
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	157	75	$700.00	$164.55
36215 Insertion of catheter into chest or arm artery	147	74	$5000.00	$506.57
37246 Balloon dilation of artery with review by radiologist, initial artery	136	72	$4100.00	$1927.18
36907 Balloon dilation of dialysis segment with review by radiologist	107	57	$1400.00	$715.16
J1644 Injection, heparin sodium, per 1000 units	88	68	$25.00	$0.20
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	71	35	$396.00	$225.59
J1580 Injection, garamycin, gentamicin, up to 80 mg	68	50	$15.00	$1.44
J3490 Unclassified drugs	66	29	$126.67	$4.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	49	$240.87	$102.66
76000 Imaging guidance for procedure, 60 minutes or less	56	39	$100.00	$45.08
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	51	20	$20.00	$6.57
75860 Radiological supervision and interpretation of imaging of vein system in head or neck vein	51	37	$1700.00	$137.51
J0690 Injection, cefazolin sodium, 500 mg	50	37	$15.00	$0.85
36589 Removal of central venous catheter for infusion	49	36	$1450.00	$121.65
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$162.36	$69.60
36904 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation	38	27	$3500.00	$1130.13
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	35	25	$442.40	$79.71
82947 Blood glucose (sugar) level	30	25	$20.00	$4.62
99239 Hospital discharge day management, more than 30 minutes	26	26	$740.68	$104.86
36581 Replacement of tunneled central venous tube	22	16	$3000.00	$579.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$1324.05	$197.19
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	19	18	$10545.00	$5293.73
76937 Ultrasonic guidance for blood vessel access	13	13	$450.00	$30.13
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	11	11	$3000.00	$650.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,284	315	$213.98	$67.56
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	596	215	$35.00	$0.12
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	564	208	$120.00	$53.12
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	537	209	$40.00	$12.06
96375 Injection of additional new drug or substance into vein	503	121	$80.00	$20.85
J1644 Injection, heparin sodium, per 1000 units	432	193	$25.00	$0.21
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	403	56	$475.00	$263.87
J3010 Injection, fentanyl citrate, 0.1 mg	399	166	$15.00	$0.47
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	390	174	$99.81	$47.77
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	375	158	$1500.00	$646.59
J2405 Injection, ondansetron hydrochloride, per 1 mg	345	65	$20.00	$0.09
J2250 Injection, midazolam hydrochloride, per 1 mg	294	147	$10.00	$0.12
37248 Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation	255	120	$3000.00	$1281.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	210	126	$253.53	$127.48
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	151	99	$1200.00	$508.73
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	123	72	$700.00	$151.40
36215 Insertion of catheter into chest or arm artery	121	70	$5000.00	$575.33
36907 Balloon dilation of dialysis segment with review by radiologist	113	55	$1400.00	$675.32
37246 Balloon dilation of artery with review by radiologist, initial artery	104	67	$4100.00	$1870.86
99213 Established patient office or other outpatient visit, typically 15 minutes	96	82	$160.40	$67.87
99239 Hospital discharge day management, more than 30 minutes	66	65	$732.38	$100.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	33	$464.69	$96.33
75860 Radiological supervision and interpretation of imaging of vein system in head or neck vein	48	31	$1700.00	$133.04
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	47	25	$396.00	$221.89
J3490 Unclassified drugs	47	26	$124.04	$1.14
36589 Removal of central venous catheter for infusion	47	35	$1450.00	$121.65
76000 Imaging guidance for procedure, 60 minutes or less	45	30	$100.00	$43.36
J0690 Injection, cefazolin sodium, 500 mg	45	35	$15.00	$0.88
J1580 Injection, garamycin, gentamicin, up to 80 mg	45	37	$15.00	$1.52
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg	35	24	$20.00	$9.71
37249 Balloon dilation of vein with review by radiologist, each additional vein	27	18	$1212.96	$595.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$1102.94	$187.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	16	$472.00	$78.87
36903 Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist	23	22	$10545.00	$4860.82
99238 Hospital discharge day management, 30 minutes or less	23	23	$483.86	$67.78
99217 Hospital observation care on day of discharge	22	22	$499.93	$68.15
99225 Subsequent observation care, typically 25 minutes per day	16	14	$474.53	$68.34
36581 Replacement of tunneled central venous tube	16	11	$3000.00	$641.57
36904 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation	15	13	$3500.00	$1326.49
49418 Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation	12	12	$466.00	$196.15

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX N4405

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

30207833 (NH)

Medicaid State Provider ID

532956099 (ME)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active March 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2017

Registered at 1673 BRIARCREST DR STE 100B, BRYAN, TX 778022756 (Tel: 9799855339)

📍

Updated Business Mailing Address March 02, 2017

Registered at 1673 BRIARCREST DR STE 100B, BRYAN, TX 778022756 (Tel: 9799855339)

👤

Provider Name / Credentials Updated March 02, 2017

Recorded as PROSPERITY EZEANUNA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Internal Medicine (License #N4405 in TX)

✅

NPI Profile Active March 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2012

Registered at 2801 E 29TH ST STE 117, BRYAN, TX 778022619 (Tel: 9794022115)

📍

Updated Business Mailing Address March 21, 2012

Registered at 2801 E 29TH ST STE 117, BRYAN, TX 778022619 (Tel: 9794022115)

👤

Provider Name / Credentials Updated March 21, 2012

Recorded as PROSPERITY EZEANUNA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2012

Internal Medicine (License #N4405 in TX)

🟢

Initial NPI Registration & Enumeration January 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235275900

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 30, 2007

Last Update: March 02, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1673 Briarcrest Dr Ste 100b

Bryan, TX 778022756

Phone: 9799855339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.