Charles Bourne
NPI 1326639642 · Gerontology Nurse Practitioner · Philadelphia, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Bourne is a Gerontology Nurse Practitioner provider in Philadelphia, PA (NPI 1326639642).
Provider details
- NPI number
- 1326639642
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- SP021873 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-29
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Frequently asked questions
- What is Charles Bourne's NPI number?
- Charles Bourne's National Provider Identifier (NPI) is 1326639642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Bourne's specialty?
- Charles Bourne is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Charles Bourne located?
- Charles Bourne's practice location on file with NPPES is 5528 Morris St, Philadelphia, PA 19144-3807.
- What is Charles Bourne's phone number?
- The practice phone number listed in the NPPES registry for Charles Bourne is (267) 243-9206.
- Does Charles Bourne accept Medicare?
- Charles Bourne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Bourne's NPI active?
- Yes — Charles Bourne's NPI (1326639642) is active in the NPPES registry as of the last update on 2021-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.