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

Dr. Michael William Bourne, DO

Individual provider Interventional Cardiology Physician · NPI 1710546965

Dr. Michael William Bourne, DO is an Interventional Cardiology Physician in Providence, Rhode Island. Practices as a sole proprietor and works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 606-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 606-1004

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence LP06913 (RI)

Record details

NPI number1710546965
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 11, 2019
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address593 Eddy St, Providence, RI 02903-4923

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