Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Chizoba Joakin Ezepue, MD

Individual provider Neurology Physician · NPI 1568802148

Dr. Chizoba Joakin Ezepue, MD is a Neurology in Bridgeton, Missouri. Qualified in 2006, 20 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Wisconsin.

Years since qualifying
20
Licensed in
IL, MO, WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12266 De Paul Dr Ste 100
Bridgeton, MO 63044-2541
Phone: (314) 738-2770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 301 N 8th St, Springfield, IL 62701-1041 — (217) 528-7541
  • 611 W Park St, Urbana, IL 61801-2500 — (217) 383-3110
  • 3635 Vista Ave, Saint Louis, MO 63110 — (240) 528-0044

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 036148557 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 71351 (WI)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 2017020334 (MO)

Record details

NPI number1568802148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2013
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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