Individual provider · Type 1 NPI
Matthew Dulles Bourne, DO
Diagnostic Radiology Physician · Silver Spring, MD
NPI number
1619437779
Active
Practice location
1100 Wayne Ave Ste 1020
Silver Spring, MD 20910-5643
Mailing address
201 E University Pkwy Dept Of
Baltimore, MD 21218-2829
Other practice locations
- 500 E Market St, Iowa City, IA 52245-2633 · (833) 228-6889
- 2305 37th Ave SW, Minot, ND 58701-7669 · (701) 418-8000
- 701 W Forevergreen Rd, North Liberty, IA 52317-9848 · (833) 228-6889
- 6000 Hospital Dr, Hannibal, MO 63401-6887 · (573) 406-5888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DO-06857 (IA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | H0100891 (MD) |
| Diagnostic Radiology Physician | 2085R0202X | 21575 (ND) |
| Diagnostic Radiology Physician | 2085R0202X | 2024039730 (MO) |
| Diagnostic Radiology Physician | 2085R0202X | DO-0133 (GU) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1619437779
Matthew Dulles Bourne, DO's National Provider Identifier is 1619437779, issued on Mar 23, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Silver Spring, MD. The record was last updated on Sep 23, 2025.