Garrett Bourne, MD
NPI 1417698630 · Student in an Organized Health Care Education/Training Program · Birmingham, AL
Enrolled with Medicare as Order and Referring Only - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Garrett Bourne, MD is a Student in an Organized Health Care Education/Training Program provider in Birmingham, AL (NPI 1417698630).
Provider details
- NPI number
- 1417698630
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 593 Eddy StProvidence, RI 02903-4923Phone: (401) 444-4000
Registry dates
- Enumerated
- 2022-04-03
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Frequently asked questions
- What is Garrett Bourne's NPI number?
- Garrett Bourne's National Provider Identifier (NPI) is 1417698630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Garrett Bourne's specialty?
- Garrett Bourne is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Garrett Bourne located?
- Garrett Bourne's practice location on file with NPPES is 625 19th St S, Birmingham, AL 35233-1900.
- What is Garrett Bourne's phone number?
- The practice phone number listed in the NPPES registry for Garrett Bourne is (205) 934-2490.
- Does Garrett Bourne accept Medicare?
- Garrett Bourne is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Garrett Bourne's NPI active?
- Yes — Garrett Bourne's NPI (1417698630) is active in the NPPES registry as of the last update on 2025-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.