Individual provider Active NPI

Erin Lee Prince, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1710142088
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29688 Issued in AL
Practice address
619 19TH St S
Jefferson Tower, Dept of Radiology
Birmingham, AL 35249-6830
Phone
(205) 934-3166
NPI assigned
Jul 25, 2008
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29688 AL Primary

Addresses

Primary practice location

619 19TH St S
Jefferson Tower, Dept of Radiology
Birmingham, AL 35249-6830

Mailing address

832 Acton Ave
Birmingham, AL 35209-6206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161205000058 TX Practitioner - Diagnostic Radiology 3072759869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians

Practice addresses (Care Compare)

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29688ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Radiological Associates PA Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients

Locations

3206 4th St
Longview, TX 75605
Phone (903) 663-7393

6600 Fish Pond Rd
Ste 101
Waco, TX 76710
Phone (254) 776-3188

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1710142088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 ACTON AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "JEFFERSON TOWER, DEPT OF RADIOLOGY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352496830",
            "telephone_number": "205-934-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ERIN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "29688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.