Margaret E. Bourne, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OOA638360 Issued in CA

Legal business name

MARGARET E. BOURNE, M.D.

Doing business as

West Marin Medical

Practice address

11150 Highway One
PT. Reyes Station, CA 94956

Phone

(415) 663-1082

Fax

(415) 663-9474

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Margaret Elizabeth Bourne, M.D.NPI 1043386535

Title

Owner

Phone

(415) 663-1082

Specialties & licenses 1

Addresses

Other names 1

• WEST MARIN MEDICAL Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Elizabeth Bourne, MD

  • Family Medicine Physician
  • Point Reyes, CA
  • NPI 1043386535
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720129620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 HIGHWAY ONE",
            "address_2": "P.O. BOX 240",
            "city": "PT. REYES STA.",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-663-1082",
            "fax_number": "415-663-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HIGHWAY ONE",
            "city": "PT. REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-663-1082",
            "fax_number": "415-663-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET E. BOURNE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-663-1082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "OOA638360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST MARIN MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Jean Pencek, D.C.
• Eileen Jane Stringer, FNP

• Family Medicine Physician in PT. Reyes Station, CA
• Providers in PT. Reyes Station, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.