Active NPI
Bryan C. Ego-Osuala, MD
- Otolaryngology Physician
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D71707
- Practice address
- 10 St. Patrick'S Drive
Waldorf, MD 20603-4527 - Phone
- (301) 705-7870
- Fax
- (301) 705-7628
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2014-00330 | NC | |
| Otolaryngology Physician | 207Y00000X | D71707 | MD | Primary |
Addresses
Primary practice location
10 St. Patrick'S Drive
Waldorf, MD 20603-4527
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Other practice location 1
441 McAlister Rd
Suite 2500
Lincolnton, NC 28092-4126
Phone (704) 479-2600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6079386 | Other | CIGNA | |
| 331216000 | Medicaid | MD | |
| NC2120 | Other | SC | MEDICAID - SC |
| P01671244 | Other | NC | RAILROAD MEDICARE |
| 1046720 | Other | SC | WELLCARE OF SC |
| 1479753 | Other | AETNA/COVENTRY | |
| 187LA | Other | NC | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group - Southern Maryland LLC
Practice addresses (Care Compare)
10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 373-7900
24035 Three Notch Rd
Hollywood, MD 20636-4871
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270
Hospital & facility affiliations
- University of MD Charles Regional Medical Center
- Medstar Southern Maryland Hospital Center
- Medstar Saint Mary'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D71707 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Otolaryngology | Current | Accepting new patients |
| Capitol Cardiology Associates, LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients |
Locations
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870
10 Saint Patricks Dr
Fl 3
Waldorf, MD 20603
Phone (240) 448-2970
Interoperability endpoints
- bryan.egoosualamd.d1.p2@direct.msmg.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Otolaryngology
-
- Cardiovascular Disease Physician
- Lanham, MD
- NPI 1609855733
-
- Internal Medicine Physician
- Ft Washington, MD
- NPI 1649077678
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1316070717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ST. PATRICK'S DRIVE",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034527",
"telephone_number": "301-705-7870",
"fax_number": "301-705-7628"
}
],
"practiceLocations": [
{
"address_1": "441 McAlister Rd",
"address_2": "Suite 2500",
"address_purpose": "LOCATION",
"city": "Lincolnton",
"state": "NC",
"postal_code": "280924126",
"country_code": "US",
"telephone_number": "704-479-2600",
"fax_number": "704-479-2601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGO-OSUALA",
"first_name": "BRYAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "2014-00330",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D71707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6079386",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331216000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - SC",
"identifier": "NC2120",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01671244",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF SC",
"identifier": "1046720",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/COVENTRY",
"identifier": "1479753",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "187LA",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.