Michael Bourne, MD
Michael Bourne, MD is a Pulmonary Disease Physician in Salt Lake City, UT, registered under NPI 1881030443. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1160 E 3900 S STE 4050, Salt Lake City, UT 84124. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 12857513-1205 | UT | Critical Care Medicine (Internal… |
| 12857513-1205 | UT | Pulmonary Disease Physician primary |
This provider holds licence 12857513-1205 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pulmonary Disease
- PAC ID
- 1951549948
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Oregon | I20190619003354 | Practitioner - Pulmonary Disease |
| Utah | I20240624003889 | Practitioner - Pulmonary Disease |
| Idaho | I20240828003853 | Practitioner - Pulmonary Disease |
Medicare enrolment is recorded as approved under the provider type Practitioner - Pulmonary Disease. There are 3 separate enrolment records across 3 states (OR, UT, ID). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pulmonary Disease covers
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine | 12857513-1205 | UT | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | 12857513-1205 | UT | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1881030443 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 22, 2013 |
| Last updated | Jun 11, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
1160 E 3900 S STE 4050 Salt Lake City, UT 84124 (801) 266-3418 |
| Mailing address |
PO BOX 741729 Atlanta, GA 30374 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 8 | 1 | 0 | 3 | 0 | 4 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 7 | 1 | 0 | 3 | 0 | 4 | 8 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.