Prosperity Ezeanuna


Address: 1673 Briarcrest Dr, 100b, Bryan, TX 77802-2756

Prosperity Ezeanuna (NPI# 1235275900, PAC ID# 2860569795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1235275900
PAC ID by PECOS 2860569795
Professional Enrollment ID I20100608000392
Full Name Prosperity Ezeanuna
Address 1673 Briarcrest Dr
100b
Bryan
TX 77802-2756
Gender M
Graduation Year 1996
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450011 CHI ST JOSEPH HEALTH
450299 COLLEGE STATION MEDICAL CENTER
670088 BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI

Other Locations

Address Phone Organization
1673 Briarcrest Dr, 100b, Bryan, TX 77802-2756
1673 Briarcrest Dr, Suite 100b, Bryan, TX 77802-2756 9794022115
2801 Franciscan Dr, Bryan, TX 77802-2544 9797763777 ST JOSEPH REGIONAL HEALTH CENTER
1604 Rock Prairie Rd, College Station, TX 77845-8345 9797645100 ST JOSEPH REGIONAL HEALTH CENTER
1604 Rock Prairie Rd, College Station, TX 77845-8345 CC HMS TX, PLLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%

Organization Information

Office Location

Street Address 1673 BRIARCREST DR
100B
City BRYAN
State TX
Zip 77802-2756

Physicians in the same zip code

Name Specialty Organization Address
George Raymond Gibson Iii Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Luke Robert Murphy Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Richard James Stephenson Chiropractic 322 N Main St, Bryan, TX 77802
Ryan William Turkington Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Tiffany D Riordan Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Ruth Ann Trevino Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Aaron Buzzard Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
William J Smith Jr. Nurse Practitioner Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Bryan Pickett Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Paul S Goen Emergency Medicine Bryan Emergency Physicians Pa 2801 Franciscan, Bryan, TX 77802
Find all physicians in zip 77802

Competitor

Search similar physicians

City BRYAN
Zip Code 77802
Specialty INTERNAL MEDICINE
City + Specialty BRYAN + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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