Bryan C Ego-osuala (NPI# 1316070717, PAC ID# 9931386810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1316070717 |
| PAC ID by PECOS | 9931386810 |
| Professional Enrollment ID | I20110601000473 |
| Full Name | Bryan C Ego-osuala |
| Address |
1100 Mercantile Ln Suite 136 Largo MD 20774-5367 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2005 |
| Primary Specialty | OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490050 | VIRGINIA HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1635 N George Mason Dr, 490 Arlington Prim Care, Arlington, VA 22205-3601 | 7035225300 | PRIVIA MEDICAL GROUP,LLC |
| 1100 Mercantile Ln, Suite 136, Largo, MD 20774-5367 | ||
| 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 | 3019172191 | PRIVIA MEDICAL GROUP,LLC |
| Street Address |
1100 MERCANTILE LN SUITE 136 |
| City | LARGO |
| State | MD |
| Zip | 20774-5367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Herbert Bone | Internal Medicine | Ic Care Corporation | 1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 |
| Laura N Marquart | Dermatology | Wellave LLC | 1100 Mercantile Ln, Suite 135, Upper Marlboro, MD 20774-5361 |
| Kattie Khadar | Nurse Practitioner | Ic Care Corporation | 1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 |
| Kelson Michael Figaro | Internal Medicine | Ic Care Corporation | 1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adeolu Tolulope Kehinde | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
| Kartiki Sanjay Suradkar | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
| Ruby Mae Jones | Psychologist, Clinical | 11111 Lochton St, Upper Marlboro, MD 20774-1529 | |
| Adora N Otiji | Family Medicine | 20 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | |
| Victor C Onyejiaka | Internal Medicine | 600 Largo Rd, Upper Marlboro, MD 20774-2122 | |
| Jene C Gould | Clinical Social Worker | 1401 Mercantile Ln, Suite 485, Largo, MD 20774-4301 | |
| Renee Michelle Riley | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| William Chestnut | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Paul A Heath | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Kenya N Brent | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Find all physicians in zip 20774 | |||
| City | LARGO |
| Zip Code | 20774 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LARGO + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Bryan C Ego-osuala.
| 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.