DR. ANDRE STEPHEN PRINCE MD NPI 1548482151

NPI Information

  • NPI: 1548482151
  • Provider Name: DR. ANDRE STEPHEN PRINCE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 60 MEMORIAL MEDICAL PKWY
    PALM COAST, FL
    ZIP 32164
  • Phone: (386) 586-2000

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NPI Details

DR. Andre Stephen Prince, MD is a diagnostic radiology radiology in Palm Coast, FL with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andre Stephen Prince, MD NPI is 1548482151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

60 MEMORIAL MEDICAL PKWY
PALM COAST, FL
ZIP 32164-980
Phone: (386) 586-2000

The NPI 1548482151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of brain without contrast (HCPCS:70551)

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiologyME99299FLORIDANo
22085R0202XRadiologyDiagnostic RadiologyME 99299FLORIDANo
32085R0202XRadiologyDiagnostic Radiology57561KENTUCKYNo
42085R0202XRadiologyDiagnostic RadiologyME99299FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1'000709500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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