MICHAEL H. BOURNE, JR. MD – NPI #1881030443
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

MICHAEL BOURNE, JR. is a physician located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1881030443 to MICHAEL BOURNE, JR. on May 22, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was last updated on Jun 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL BOURNE, JR. below.

NPI Profile for
MICHAEL H. BOURNE, JR.

NPI Number
1881030443
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL H. BOURNE, JR.
Credentials
MD
Primary location
1160 E 3900 S STE 4050
SALT LAKE CITY, UT 84124-1264
Phone: (801) 266-3418 Fax:
3 Other location(s):
879 Providence Dr
Newberg, OR 97132-7563
Phone: (503) 297-3778
Fax: (503) 297-7853
16770 SW Edy Rd Ste 216
Sherwood, OR 97140-9679
Phone: (503) 297-3778
Fax: (503) 297-7853
19250 SW 65th Ave Ste 135
Tualatin, OR 97062-7745
Phone: (503) 692-8560
Fax: (503) 783-0660
Mailing address
PO BOX 741729
ATLANTA, GA 30374-1729
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 11, 2024

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.

Identifiers

Identifiers for MICHAEL BOURNE, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR500761546
MEDICAIDWA2126514
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
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)		 UT 12857513-1205
207RC0200X
- Internal Medicine / Critical Care Medicine		 UT 12857513-1205

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
9427 SW BARNES RD STE 296,
PORTLAND, OR 77025-1669

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL BOURNE, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY MERIDIAN PARK MEDICAL CENTER
      19300 SW 65TH AVENUE
      TUALATIN, OR 97062
    • OHSU HOSPITAL AND CLINICS
      3181 SW SAM JACKSON PARK ROAD
      PORTLAND, OR 97239
    • PROVIDENCE NEWBERG MEDICAL CENTER
      1001 PROVIDENCE DRIVE
      NEWBERG, OR 97132
    • PROVIDENCE PORTLAND MEDICAL CENTER
      4805 NE GLISAN STREET
      PORTLAND, OR 97213
    • PROVIDENCE ST VINCENT MEDICAL CENTER
      9205 SW BARNES ROAD
      PORTLAND, OR 97225

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.