Individual provider Active NPI

Daniel Deprince III, D.O.

  • Family Medicine Physician
  • Lansdale, PA
National Provider Identifier
1023080306
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06561000 Issued in NJ
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

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8316601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040426001152 NJ Practitioner - Family Practice 8325035157
I20160311000129 PA Practitioner - Family Practice 8325035157 Reassigns benefits to 2 organizations
I20221212001148 FL Practitioner - Family Practice 8325035157 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
25MB06561000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verimed Health Group Bradenton LLC CurrentSince Apr 1, 2025 Accepting new patients
Verimed Health Group, Riverview LLC CurrentSince Nov 1, 2023 Accepting new patients
Sunset Point Medical Associates Inc Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
Mydoc Urgent Care CurrentSince Feb 29, 2016 Accepting new patients
Main Line Medical Group LTD Family Medicine CurrentSince Feb 10, 2020 Accepting new patients
Inspira Health Network Medical Group, P.C. PastSince Jan 1, 2016 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDACDA/Endpoint/CDACDA
  • FHIR API: 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.

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

Verify at the official NPI Registry.