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Dr. Diane A Bourke, M.D.

Developmental - Behavioral Pediatrics Physician in Latham, NY · enumerated 2006 · practices at Developmental Pediatrics, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124082375

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Registry record

Entity type Individual (Type 1)
Name Dr. Diane A Bourke
Credential M.D.
Sex Female
Practice address 7b Johnson Rd, Latham, NY, 12110
Fax (518) 782-0800
Enumeration date Apr 14, 2006
Last updated in NPPES Jan 18, 2018

Taxonomy & licenses

2080P0006X Developmental - Behavioral Pediatrics Physician Allopathic & Osteopathic Physicians · License 173530 (NY) Primary
174400000X Specialist Other Service Providers · License 173530 (NY) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
042ZE1 Other NY EMPIRE BLUECROSS
143257 Other NY GHI/HMO
5780670 Other NY AETNA
9042526 Other NY MVP HELATHCARE
01820997 Medicaid NY -
091231000203 Other NY FIDELIS
PRC110027743 Other NY CDPHP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Diane Bourke practice?
The practice location on file with NPPES is in Latham, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Diane Bourke?
The National Provider Identifier (NPI) for Diane Bourke is 1124082375, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-18.