Matthew Dulles Bourne, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

H0100891 Issued in MD

Practice address

1100 Wayne Ave Ste 1020
Silver Spring, MD 20910-5643

Phone

(703) 390-9882

NPI assigned

Mar 23, 2019

Last updated

Sep 23, 2025By 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 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, NC, WA, MA, ND, MO, WY, IA, GU, MD, NM, WI, TX, IL, CA, NE, SD17 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 17

Specialty

Diagnostic Radiology

Education

Lake Erie Col of Osteo Med at Seton Hill Univ, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians

Radiology Consultants LTDGroup PAC ID 9032195128, 35 clinicians

Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians

Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians

Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians

Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians

Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Chickasaw Nation Division of Health Chickasaw Nation Medical CenterGroup PAC ID 8426957523, 243 clinicians

Prosser Public Hospital District of Benton CountyGroup PAC ID 6709787872, 111 clinicians

Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians

Radiologic Medical Services PCGroup PAC ID 3577451491, 29 clinicians

Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians

Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians

Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians

Mahaska County HospitalGroup PAC ID 2769388677, 128 clinicians

Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians

Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Columbus Regional Healthcare SystemGroup PAC ID 2961312228, 120 clinicians

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029
• Guam Regional Medical City Hospital, Dededo, GU, CCN 650003
• Huntington Hospital Hospital, Pasadena, CA, CCN 050438
• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 64)

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
• Direct secure messaging: mbourne2973357@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: mbourne860615@direct.froedtert.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1346292521

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Associated Radiologists, LTD.

  • Diagnostic Radiology Physician
  • Jonesboro, AR
  • NPI 1215931290

  DC

  Medicare reassignment Care Compare group NPD
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678

  DC

  Medicare reassignment Care Compare group NPD
• Big Horn Health Network

  dba Sheridan Memorial Clinics

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688
  Medicare reassignment Care Compare group NPD
• Chickasaw Nation Division of Health

  dba Chickasaw Nation Medical Center

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923

  TX

  Medicare reassignment Care Compare group NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743

  DC

  Medicare reassignment Care Compare group NPD
• Diagnostic Radiology PC

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1497713291

  DC

  Medicare reassignment Care Compare group NPD
• Grand Island Radiology Associates PC

  dba Heartland Radiology

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1932136405

  DC

  Medicare reassignment Care Compare group NPD
• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment Care Compare group NPD
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment Care Compare group NPD
• Hannibal Regional Healthcare System Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1003956095
  Medicare reassignment Care Compare group NPD
• Lincoln Radiology Group P C

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1275587602

  DC

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guam Healthcare Development Incorporated

  dba Guam Regional Medical City

  • General Acute Care Hospital
  • Dededo, GU
  • NPI 1194159525
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• Pasadena Hospital Association, LTD

  dba Huntington Hospital

  • General Acute Care Hospital
  • Pasadena, CA
  • NPI 1407828429
  Care Compare affiliation
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  Care Compare affiliation
• State University of Iowa

  dba University of Iowa Health Care Medical Center Downtown

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1699541870
  Care Compare affiliation

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1619437779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY DEPT OF",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2284",
            "fax_number": "410-554-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WAYNE AVE STE 1020",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105643",
            "telephone_number": "703-390-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-406-5888",
            "fax_number": "573-248-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
            "country_code": "US",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "MATTHEW",
        "middle_name": "DULLES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "DO-06857",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "H0100891",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "21575",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2024039730",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "DO-0133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stanley Anthony Boucree Jr., DDS, MD
• Katiana Bouda Batako
• Dehinatou Boukari
• Judith Kah Bouma
• Afolabi Bouraima
• Olivia Boussar
• Ellen S. Bowers, LCSW-C
• Albert Paul Bowling, PA-C
• Michal Y Boyars, PH.D., NCSP
• Tricia Boyce, D.D.S.

• Diagnostic Radiology Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.