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

Randolph Bourne, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1881735736

Randolph Bourne, MD is an Obstetrics/Gynecology in Edmonds, Washington. Graduated from Vanderbilt University School of Medicine in 2003, 23 years ago. Practices with Swedish Health Services, a 1,045-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
23
Trained at
Vanderbilt University School of Medicine
Licensed in
WA
In the registry since
2007
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

21616 76th Ave W Ste 205
Edmonds, WA 98026-7512
Phone: (425) 640-4810
Fax: (425) 640-4884
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD00047603 (WA)

Record details

NPI number1881735736
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESOctober 10, 2007
Mailing address21616 76th Ave W Ste 205, Edmonds, WA 98026-7512

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Swedish Health Services — 1045 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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