Active NPIIndividual provider

Garrett A Bourne, MD

Student in an Organized Health Care Education/Training Program in Birmingham, Alabama

NPI Number1417698630
Practice location
625 19TH St S, Birmingham, AL 35233-1900
Fax
—
Last updated
May 29, 2025

Garrett Austin Bourne is a Student in an Organized Health Care Education/Training Program based in Birmingham, AL. Garrett Austin Bourne practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Garrett Austin Bourne is 1417698630. The current practice location address for Garrett Austin Bourne is 625 19TH St S, Birmingham, AL 35233-1900 and can be reached out via phone at 205-934-2490.

Provider Profile Details

NPI Number
1417698630
Provider Name
Garrett Austin Bourne
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
625 19TH St S, Birmingham, AL 35233-1900
Phone Number
205-934-2490
Sole Proprietor
No
Provider Enumeration Date
April 3, 2022
Last Update Date
May 29, 2025
Certification Date
May 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
625 19TH St S
Birmingham, AL 35233-1900
State
Alabama
Zip
35233-1900
Phone Number
205-934-2490
Birmingham, AL 35233Get directions →

Provider Business Mailing Address Details

Address
625 19TH St S
Birmingham, AL 35233-1900
City
Birmingham
State
AL
Zip
35233-1900
Phone Number
205-934-2490

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Garrett A Bourne, MD?

The NPI number of Garrett A Bourne, MD is 1417698630. It was assigned on April 3, 2022 and is currently active in the NPPES registry.

What is the specialty of Garrett A Bourne, MD?

Garrett A Bourne, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Garrett A Bourne, MD practice?

The practice location is 625 19TH St S, Birmingham, AL 35233-1900. The office can be reached at 205-934-2490 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417698630 directly on the NPPES registry website.

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