Lonestar Nephrology PLLC
NPI 1104538651 · Nephrology Physician · Bryan, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lonestar Nephrology PLLC is a Nephrology Physician organization in Bryan, TX (NPI 1104538651).
Provider details
- NPI number
- 1104538651
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Prosperity Ezeanuna, President(979) 402-2115
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-15
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Frequently asked questions
- What is Lonestar Nephrology PLLC's NPI number?
- Lonestar Nephrology PLLC's National Provider Identifier (NPI) is 1104538651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lonestar Nephrology PLLC?
- Lonestar Nephrology PLLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Lonestar Nephrology PLLC located?
- Lonestar Nephrology PLLC's practice location on file with NPPES is 2310 De Lee St Ste 300, Bryan, TX 77802-2815.
- What is Lonestar Nephrology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lonestar Nephrology PLLC is (979) 485-9401.
- Does Lonestar Nephrology PLLC accept Medicare?
- Lonestar Nephrology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lonestar Nephrology PLLC?
- The authorized official listed on Lonestar Nephrology PLLC's NPPES record is Prosperity Ezeanuna, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lonestar Nephrology PLLC's NPI active?
- Yes — Lonestar Nephrology PLLC's NPI (1104538651) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.