Mark Alan Bourne

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

625 Highway 101 # 168
Florence, OR 97439-7634

Phone

(503) 789-4374

NPI assigned

Sep 20, 2015

Last updated

Sep 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1457720450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HIGHWAY 101 # 168",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397634",
            "telephone_number": "503-789-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HIGHWAY 101 # 168",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397634",
            "telephone_number": "503-789-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Michele Belcher, PA-C
• Erin Christina Berry, FNP
• Best for Hearing
• Randolph Roy Boespflug, MD MBA
• Andrew M. Boughal, D.O.
• Pushapdeep Kaur Brar, M.D.
• Brett Bray
• Clare J Brien, D.O.
• Paul Buchek, CRNA
• Corey Burch

• Home Modifications Contractor in Florence, OR
• Providers in Florence, OR by specialty
• Home Modifications Contractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.