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

Matthew Dulles Bourne, DO

Individual provider Diagnostic Radiology Physician · NPI 1619437779

Matthew Dulles Bourne, DO is a Diagnostic Radiology in Silver Spring, Maryland. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2019, 7 years ago. Practices with Radiology Consultants of Iowa PLC, a 75-clinician group and works from 5 locations. Licensed in Guam, Iowa, Maryland and Missouri and 1 more.

Years since qualifying
7
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
GU, IA, MD, MO, ND
In the registry since
2019
Specialties on file
5
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

1100 Wayne Ave Ste 1020
Silver Spring, MD 20910-5643
Phone: (703) 390-9882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 500 E Market St, Iowa City, IA 52245-2633 — (833) 228-6889
  • 701 W Forevergreen Rd, North Liberty, IA 52317-9848 — (833) 228-6889
  • 6000 Hospital Dr, Hannibal, MO 63401-6887 — (573) 406-5888
  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 418-8000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence H0100891 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence DO-06857 (IA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 21575 (ND)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2024039730 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence DO-0133 (GU)

Record details

NPI number1619437779
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 23, 2019
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address201 E University Pkwy Dept Of, Baltimore, MD 21218-2829

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2019 (7 years in practice)
Group practice Radiology Consultants Of Iowa Plc — 75 clinicians
Accepts Medicare assignment Not indicated
Practice locations36 on file with Medicare

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