Bourne, Gerald W.

Bourne, Gerald W. is an individual health care provider with primary practice located at 2500 Alhambra Ave , Martinez CA 94553-3156. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bourne, Gerald W. can be contacted via phone (925) 370-5973.

Contact Information

Primary practice address
2500 Alhambra Ave Martinez CA 94553-3156
Phone: (925) 370-5973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G61089 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G61089 California

Profile Details

NPI number 1821162140
LBN Legal business name Bourne, Gerald W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821162140 NPPES
California MEDICAID 00G610890

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