JARED BOURKE MD – NPI #1366138737
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

JARED BOURKE is a military health care provider located in BETHESDA, MD. NPPES has assigned the NPI number 1366138737 to JARED BOURKE on April 18, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was previously updated about 3 years ago on Aug 17, 2023. See the complete NPI profile for JARED BOURKE below.

NPI Profile for
JARED BOURKE

NPI Number
1366138737
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JARED BOURKE
Credentials
MD
Primary location
4494 PALMER ROAD N
BETHESDA, MD 20814
Phone: (301) 848-9626 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.