DR. DALTON BOURKE MD
NPI 1134623804
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Antonio, TX

NPI Status: Active since March 19, 2018

Contact Information

1100 WILFORD HALL LOOP BLDG 4554
SAN ANTONIO, TX
ZIP 78236
Phone: (210) 292-6255
Fax: (210) 292-7934

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry

About DALTON BOURKE

This page provides the complete NPI Profile along with additional information for Dalton Bourke, a provider established in San Antonio, Texas with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1134623804 assigned on March 2018. The practitioner's primary taxonomy code is 2084P0804X with license number 73098 (WI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1134623804
Provider Name
DR. DALTON BOURKE MD
Gender
Male
Entity Type
Individual
Location Address
1100 WILFORD HALL LOOP BLDG 4554 SAN ANTONIO, TX 78236
Location Phone
(210) 292-6255
Location Fax
(210) 292-7934
Mailing Address
1100 WILFORD HALL LOOP BLDG 4554 SAN ANTONIO, TX 78236
Mailing Phone
(210) 292-6255
Mailing Fax
(210) 292-7934
Is Sole Proprietor?
No
Enumeration Date
03-19-2018
Last Update Date
10-03-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
73098
License State
WI
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

73098 (WI)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134623804, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 2 + 2 + 6 + 8 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1134623804.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology (Glaucoma Specialist)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Family Medicine
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Psychologist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Physical Therapist (Orthopedic)
1100 WILFORD HALL LOOP BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Psychologist (Clinical)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Social Worker (Clinical)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Dentist (Oral and Maxillofacial Surgery)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pediatrics
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Preventive Medicine (Aerospace Medicine)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Family Medicine
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Nurse Practitioner (Psychiatric/Mental Health)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Family Medicine
1100 WILFORD HALL LOOP BLDG 4554
SAN ANTONIO, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Nurse Practitioner (Women's Health)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134623804, enumerated as an "individual" on March 19, 2018.

The provider is located at 1100 WILFORD HALL LOOP BLDG 4554 SAN ANTONIO, TX 78236 and the phone number is (210) 292-6255.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.