PROSPERITY EZEANUNA (NPI# 1235275900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235275900 |
| Entity Type | Individual |
| Full Name | PROSPERITY EZEANUNA |
| Credential | MD |
| Practice Address |
1673 Briarcrest Dr Ste 100b Bryan TX 77802-2756 |
| Practice Telephone | 9799855339 |
| Practice Fax Number | 9797053505 |
| Mailing Telephone | 9799855339 |
| Mailing Fax Number | 9797053505 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
N4405 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 532956099 | 05 | |
| NH | 30207833 | 05 |
| Street Address |
1673 BRIARCREST DR STE 100B |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982955175 | Brazos Vascular Access Center, Pllc | Internal Medicine | 1673 Briarcrest Dr, Ste 100b, Bryan, TX 77802-2737 | 2012-09-27 |
| 1265574545 | Richard Greenlee Morgan | Internal Medicine | 1705 E 29th St, Bryan, TX 77802 | 2007-02-13 |
| 1689698615 | Frederick S Tan | Internal Medicine | 2801 E 29th St, Ste 117, Bryan, TX 77802-2618 | 2006-07-26 |
| 1346874658 | Rejeesh Vasudev Md Pa | Internal Medicine | 2110 E Villa Maria Rd, Bryan, TX 77802-2542 | 2020-02-25 |
| 1487133120 | Brazos Hypertension and Kidney Care Pllc | Internal Medicine | 2801 E 29th St Ste 117, Bryan, TX 77802-2619 | 2018-08-13 |
| 1083807937 | Rejeesh Vijaya Vasudev | Internal Medicine | 2110 E Villa Maria Rd, Bryan, TX 77802-2542 | 2007-08-23 |
| 1700918224 | Frederick S Tan Md | Internal Medicine | 1705 E 29th St, Bryan, TX 77802-1406 | 2007-03-10 |
| 1154483949 | Asad Khan | Internal Medicine | 2110 E Villa Maria Rd, Bryan, TX 77802-2542 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.