Dr. Michael W Bourne, DO
Internal Medicine, Interventional Cardiology in Providence, Rhode Island
1710546965- Practice location
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- 401-606-1004
- Fax
- —
- Last updated
- July 2, 2026
Michael William Bourne is an Internal Medicine, Interventional Cardiology based in Providence, RI. Michael William Bourne practices in Providence, RI and has the professional credentials of DO. The NPI Number for Michael William Bourne is 1710546965 and holds a License No. LP06913 (RI). The current practice location address for Michael William Bourne is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-606-1004.
Provider Profile Details
- NPI Number
- 1710546965
- Provider Name
- Michael William Bourne
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone Number
- 401-606-1004
- Primary Taxonomy
- Internal Medicine, Interventional Cardiology · 207RI0011X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 11, 2019
- Last Update Date
- July 2, 2026
- Certification Date
- July 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-606-1004
Provider Business Mailing Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- RI
- Zip
- 02903-4923
- Phone Number
- 401-444-4000
License Information
- License Number
- LP06913
- License State
- RI
- Taxonomy
- Internal Medicine, Interventional Cardiology · 207RI0011X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Interventional Cardiology providers near Providence, RI
View all Internal Medicine, Interventional Cardiology providers in Providence →- Douglas M Burtt, MDInternal Medicine, Interventional Cardiology · NPI 1962449900
- Mrs. Jinnette D Abbott, MDInternal Medicine, Interventional Cardiology · NPI 1144241613
- Paul C Gordon, MDInternal Medicine, Interventional Cardiology · NPI 1568496677
- Pieter S De Klerk, MDInternal Medicine, Interventional Cardiology · NPI 1730612490
Frequently Asked Questions
What is the NPI number of Dr. Michael W Bourne, DO?
The NPI number of Dr. Michael W Bourne, DO is 1710546965. It was assigned on June 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael W Bourne, DO?
Dr. Michael W Bourne, DO is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X), licensed in RI under license number LP06913.
Where does Dr. Michael W Bourne, DO practice?
The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-606-1004 (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 1710546965 directly on the NPPES registry website.