Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dalton Bourke, MD

Individual provider Psychiatry Physician · NPI 1134623804

Dr. Dalton Bourke, MD is a Psychiatry in San Antonio, Texas. Graduated from Creighton University School of Medicine in 2018, 8 years ago. Licensed in Wisconsin.

Years since qualifying
8
Trained at
Creighton University School of Medicine
Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
San Antonio, TX 78236-5638
Phone: (210) 292-6255
Fax: (210) 292-7934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 73098 (WI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 73098 (WI)

Record details

NPI number1134623804
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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