Brenda Sue Prince, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34-005494 Issued in OH

Practice address

659 Boulevard St
Dover, OH 44622-2026

Phone

(330) 364-0894

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Community Pathologists Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Dover, OH
  • NPI 1467779397
  NPD
• RC Hastedt MD Inc

  • Anatomic Pathology Physician
  • Dover, OH
  • NPI 1235324104
  NPD
• Summa Emergency Associates

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1639317944
  NPD (past)
• Summa Emergency Associates, Inc.

  • Emergency Medicine Physician
  • Wooster, OH
  • NPI 1811936883
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467565424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 RUTLEDGE DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193623",
            "telephone_number": "330-644-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222026",
            "telephone_number": "330-364-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-005494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Polilli, APRN-CNP
• Allison Porter, RDN, LD
• Elizabeth Anne Porter, MS PT
• Ellen Klepzig Potts, D.O.
• Myrissa Powell, MSW, LSW
• Pruni Chiropractic
• Pruni Chiropractic LLC
• Stephen Mark Pruni III, DC
• Samantha Quillen, CNP
• Annabelle Raber

• Emergency Medicine Physician in Dover, OH
• Providers in Dover, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.