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

Sean David Bourne, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700237534

Sean David Bourne, MD is a Family Practice in Frederick, Maryland. Graduated from State University of New York at Buffalo School of Medicine in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
VA
In the registry since
2016
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

7190 Crestwood Blvd
Frederick, MD 21703-7314
Phone: (240) 529-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101263331 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116029690 (VA)

Record details

NPI number1700237534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2016
Last updated in NPPESJuly 26, 2021
Certification dateJune 28, 2021
Mailing address2101 E Jefferson St, Rockville, MD 20852-4908

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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