Margaret Elizabeth Bourne, MD
Individual provider Active NPI Family Medicine Physician · Point Reyes, CA
NPI 1043386535 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043386535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ZZZ2323082 (CA)
- Practice address
- 11150 Highway One
Point Reyes, CA 94956 - Phone
- (415) 663-1082
- Fax
- (415) 663-9474
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63836 | CA | MD | Dentist |
| ZZZ2323082 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret E. Bourne, M.D. | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ZZZ2323082 | CA | Yes |
Addresses
Primary practice location
11150 Highway One
Point Reyes, CA 94956
Mailing address
11150 Highway One
Box 240
Point Reyes, CA 94956
Phone (415) 663-1082
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A638360 | Medicaid | CA |
Other providers in Point Reyes, CA
All providers in Point Reyes, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.