MATTHEW DULLES BOURNE DO NPI 1619437779

NPI Information

  • NPI: 1619437779
  • Provider Name: MATTHEW DULLES BOURNE, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 WAYNE AVE STE 1020
    SILVER SPRING, MD
    ZIP 20910
  • Phone: (703) 390-9882

Map and Directions

Get Directions

NPI Details

Matthew Dulles Bourne, DO is a diagnostic radiology radiology in Silver Spring, MD with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Matthew Dulles Bourne, DO NPI is 1619437779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduation Year:2019

The provider's business location address is:

1100 WAYNE AVE STE 1020
SILVER SPRING, MD
ZIP 20910-643
Phone: (703) 390-9882

The NPI 1619437779 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 3/23/2019 and was last updated on 9/23/2025.

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
12085R0202XRadiologyDiagnostic RadiologyDO-06857IOWANo
22085R0202XRadiologyDiagnostic RadiologyH0100891MARYLANDYes
32085R0202XRadiologyDiagnostic Radiology21575NORTH DAKOTANo
42085R0202XRadiologyDiagnostic Radiology2024039730MISSOURINo
52085R0202XRadiologyDiagnostic RadiologyDO-0133GUAMNo

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI