Lonestar Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LONESTAR NEPHROLOGY PLLC

Practice address

2310 De Lee St Ste 300
Bryan, TX 77802-2815

Phone

(979) 485-9401

NPI assigned

Dec 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prosperity Ezeanuna, MDNPI 1235275900

Title

President

Phone

(979) 402-2115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prosperity Ezeanuna, MD

  • Nephrology Physician
  • Bryan, TX
  • NPI 1235275900
  Medicare reassignment NPD Authorized official
• Elizabeth Catherine Berigan, M.D.

  • Internal Medicine Physician
  • Coralville, IA
  • NPI 1346324399
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1104538651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6084",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778056084",
            "telephone_number": "979-485-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 DE LEE ST STE 300",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022815",
            "telephone_number": "979-485-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "EZEANUNA",
        "authorized_official_first_name": "PROSPERITY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-402-2115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Lobb, MS, RD, LD
• Kelly W Lobb, MD
• Kumiko Loehr, RDH
• Joscelyn Logsdon, BCBA
• Lois M. Hansen, M.a., L.P.C., L.P.
• Amber Lopez
• Sylvia Marie Lopez
• Shaniqun Nicole Lott
• Patricia Vera Louis, MD
• William H Lovett III, PA

• Nephrology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.