Active NPI
Ryan Noland Bourne, M.D.
- Interventional Cardiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- M9875
- Practice address
- 8715 Village Dr
Ste 400
San Antonio, TX 78217-5405 - Phone
- (210) 646-6556
- Fax
- (210) 646-6330
- NPI assigned
- May 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | M9875 | TX | Primary |
Addresses
Primary practice location
8715 Village Dr
Ste 400
San Antonio, TX 78217-5405
Mailing address
8715 Village Dr
Ste 400
San Antonio, TX 78217-5405
Phone (210) 646-6556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB153127 | Other | WELLMED NETWORKS INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- State University of New York at Buffalo School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7600
Hospital & facility affiliations
- Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Wellmed Networks, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Specialty Network Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122
8715 Village Dr
Ste 400
San Antonio, TX 78217
Phone (210) 558-0122
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1386948677
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1578730271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8715 VILLAGE DR",
"address_2": "STE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175405",
"telephone_number": "210-646-6556",
"fax_number": "210-646-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8715 VILLAGE DR",
"address_2": "STE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175405",
"telephone_number": "210-646-6556",
"fax_number": "210-646-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURNE",
"first_name": "RYAN",
"middle_name": "NOLAND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "M9875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED NETWORKS INC",
"identifier": "TXB153127",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.