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

Michael Hal Bourne Jr., MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1881030443

Michael Hal Bourne Jr., MD is a Pulmonary Disease in Salt Lake City, Utah. Qualified in 2013, 13 years ago. Practices with Mountainstar Cardiology St Marks LLC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2013
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

1160 E 3900 S Ste 4050
Salt Lake City, UT 84124-1264
Phone: (801) 266-3418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 12857513-1205 (UT)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 12857513-1205 (UT)

Record details

NPI number1881030443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2013
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mountainstar Cardiology St Marks Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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