Individual provider · Type 1 NPI

Garrett Austin Bourne, MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1417698630 Active

Practice location

625 19th St S
Birmingham, AL 35233-1900

Other practice locations

  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-4000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417698630

Garrett Austin Bourne, MD's National Provider Identifier is 1417698630, issued on Apr 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on May 29, 2025.