DR. RYAN NOLAND BOURNE M.D. NPI 1578730271

NPI Information

  • NPI: 1578730271
  • Provider Name: DR. RYAN NOLAND BOURNE, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8715 VILLAGE DR
    STE 400
    SAN ANTONIO, TX
    ZIP 78217
  • Phone: (210) 646-6556

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NPI Details

DR. Ryan Noland Bourne, M.D. is a cardiovascular disease internal medicine in San Antonio, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Ryan Noland Bourne, M.D. NPI is 1578730271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8715 VILLAGE DR
STE 400
SAN ANTONIO, TX
ZIP 78217-405
Phone: (210) 646-6556
Fax: (210) 646-6330

The NPI 1578730271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/12/2008 and was last updated on 1/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseMD432010PENNSYLVANIANo
2207R00000XInternal MedicineMD432010PENNSYLVANIANo
3207RC0000XInternal MedicineCardiovascular DiseaseM9875TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18F9445MEDICARE PINTEXAS
2TXB153127OTHERWELLMED NETWORKS INC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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