Individual provider Active NPI

William Tyler Prince, MD

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1740867183
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0073233 Issued in CO
Practice address
777 Bannock St
Mc0108
Denver, CO 80204
Phone
(303) 602-5193
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0073233 CO Primary

Addresses

Primary practice location

777 Bannock St
Mc0108
Denver, CO 80204

Mailing address

777 Bannock St
Mc0108
Denver, CO 80204
Phone (303) 602-5193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240613003625 CO Practitioner - Emergency Medicine 4981147329 Reassigns benefits to 3 organizations
I20260526000189 TX Practitioner - Emergency Medicine 4981147329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Vermont College of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box PH
Chinle, AZ 86503

PO Box PH
Chinle, AZ 86503-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0073233COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jun 11, 2025 Accepting new patients
East Morgan County Hospital CurrentSince Jul 1, 2024 Accepting new patients
East Morgan County Hospital CurrentSince Jul 1, 2024 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jun 11, 2025 Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

777 Bannock St
#108
Denver, CO 80204
Phone (303) 602-5176

909 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 542-4700

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1740867183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-602-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-602-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "WILLIAM",
        "middle_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "0073233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.