DR. RAE LINDSAY BOURNE M.D. NPI 1356569628

NPI Information

NPI: 1356569628
Provider Name: DR. RAE LINDSAY BOURNE, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Organization: PERMANENTE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
21 ORINDA WAY
SUITE C, PMB 276
ORINDA, CA
ZIP 94563
Phone: (925) 257-2896
Get Directions

DR. Rae Lindsay Bourne, M.D. is a rheumatology internal medicine in Orinda, CA with 25 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Rae Lindsay Bourne, M.D. NPI is 1356569628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

21 ORINDA WAY
SUITE C, PMB 276
ORINDA, CA
ZIP 94563-530
Phone: (925) 257-2896
Fax: (925) 913-7044

The NPI 1356569628 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 enumeration date for this NPI number is 4/23/2007 and was last updated on 2/11/2022.

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
1	207RR0500X	Internal Medicine	Rheumatology	A94483	CALIFORNIA	Yes
2	207R00000X	Internal Medicine		2006-00114	NORTH CAROLINA	No
3	207R00000X	Internal Medicine		235755	NEW YORK	No
4	207R00000X	Internal Medicine		A94483	CALIFORNIA	No

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	A94483	OTHER	CALIFORNIA	CALIFORNIA LICENCE
2	1356569628	OTHER		NPI NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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