Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Michael Ray Bourne, MD

Podiatrist in Stillwater, MN · enumerated 2005.

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

National Provider Identifier

1164412649

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Registry record

Entity type Individual (Type 1)

Name Dr. Michael Ray Bourne

Credential MD

Sex Male

Practice address 1500 Curve Crest Blvd W, Stillwater, MN, 55082

Phone (651) 439-1234

Fax (651) 275-3325

Enumeration date Oct 25, 2005

Last updated in NPPES Apr 23, 2026

Taxonomy & licenses

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 746 (WI) Secondary

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 746 (WI) Secondary

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 445 (MN) Primary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 445 (MN) 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
164225100	Medicaid	MN	-
43222300	Medicaid	WI	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1164412649 active?

Yes, as of the latest NPPES snapshot, NPI 1164412649 is active (record last updated 2026-04-23).

How do I verify Michael Bourne's NPI record?

Cross-check NPI 1164412649 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-23.