Active NPI
Daniel Deprince III, D.O.
- Family Medicine Physician
- Lansdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB06561000
- Practice address
- 1970 N Broad St
Lansdale, PA 19446-1002 - Phone
- (215) 368-1900
- Fax
- (215) 368-8772
- NPI assigned
- Feb 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB06561000 | NJ | Primary |
Addresses
Primary practice location
1970 N Broad St
Lansdale, PA 19446-1002
Mailing address
1970 N Broad St
Lansdale, PA 19446-1002
Phone (215) 368-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8316601 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
311 Manatee Ave E
Bradenton, FL 34208-1933
Phone (941) 748-4847
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06561000 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verimed Health Group Bradenton LLC | Current | Accepting new patients | |
| Verimed Health Group, Riverview LLC | Current | Accepting new patients | |
| Sunset Point Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Mydoc Urgent Care | Current | Accepting new patients | |
| Main Line Medical Group LTD | Family Medicine | Current | Accepting new patients |
| Inspira Health Network Medical Group, P.C. | Past | Accepting new patients |
Locations
311 Manatee Ave E
Bradenton, FL 34208
Phone (941) 748-4847
3820 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 785-4540
9550 US Highway 19
Ste 20
Port Richey, FL 34668
Phone (727) 310-0188
11924 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 672-3200
857 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 664-2951
1501 N Broad St
Ste 10
Philadelphia, PA 19122
Phone (267) 457-5553
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDACDA/Endpoint/CDACDA
- https://fhir4.healow.com/fhir/r4/EIGIDD/Endpoint/EIGIDD
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Narberth, PA
- NPI 1760415913
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1689067472
-
- Internal Medicine Physician
- Palm Harbor, FL
- NPI 1366641698
Family Medicine
-
- Primary Care Clinic/Center
- Bradenton, FL
- NPI 1023422391
-
- Primary Care Clinic/Center
- Riverview, FL
- NPI 1912326851
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1023080306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461002",
"telephone_number": "215-368-1900",
"fax_number": "215-368-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461002",
"telephone_number": "215-368-1900",
"fax_number": "215-368-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPRINCE",
"first_name": "DANIEL",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB06561000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8316601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.