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

Mr. Ayinde T Bourne, DO

Individual provider Internal Medicine Physician · NPI 1649487893

Mr. Ayinde T Bourne, DO is a Critical Care (Intensivists) in Warren, Michigan. Qualified in 2006, 20 years ago. Practices with Mary Washington Hospital Inc, a 53-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
20
Licensed in
FL, MI
In the registry since
2007
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone: (586) 573-5383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101016738 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS 10715 (FL)

Record details

NPI number1649487893
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESMarch 21, 2010
Mailing addressPo Box 3746, Southfield, MI 48037-3746

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mary Washington Hospital Inc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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