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THERESA ELAINE BOURNE M.D.
NPI 1972957512
Pediatrics in Columbia, MD

Active since April 20, 2016PECOS Enrolled
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045(410) 997-1700(410) 740-8315 Get Directions Write a Review

NPPES record last updated: June 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Elaine Bourne M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA ELAINE BOURNE M.D. (NPI 1972957512) is an individual pediatrics provider in Columbia, Maryland, licensed in Maryland (D86548) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972957512
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTHERESA ELAINE BOURNECredential: M.D.
Location Address8821 COLUMBIA 100 PKWYColumbia, MD 21045-2274
Mailing Address8821 Columbia 100 PkwyColumbia, MD 21045-2274 · (410) 997-1700 · Fax (410) 740-8315
Phone(410) 997-1700
Fax(410) 740-8315
Sole ProprietorNo
Enumeration DateApril 20, 2016
Last NPPES UpdateJune 30, 2019
✔ NPI 1972957512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D86548
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8821 COLUMBIA 100 PKWY, Columbia, MD 21045
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Other Names 1

Former Name (1)Theresa Elaine Neiderer M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Elaine Bourne M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN SCHWARTZ M.AC., L.AC.
Acupuncturist
8821 COLUMBIA 100 PKWY, SUITE 5
COLUMBIA, MD 21045
Howard County (410) 992-9340
ACUWORKS
Acupuncturist
8821 COLUMBIA 100 PKWY, SUITE 5
COLUMBIA, MD 21045
Howard County (410) 375-3829
JENNA COSENTINO MATTHAI CRNP
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-1700
HOPE TERLE-BIRD M.S., C.R.N.P.
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 992-0510
JAMES D ANTHONY M.D.
Pediatrics (Adolescent Medicine)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 992-0510
TRUSTED DOCTORS LLC
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-1700
MRS. PENNI EUGINA PARLER M.S., C.R.N.P.
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-1700
DANA ELLIOTT WOLLNEY M.D.
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Bourne's NPI number?

The NPI number for Theresa Bourne is 1972957512. It was assigned to this individual provider in the NPPES registry on April 20, 2016. The provider is also known as Theresa Elaine Neiderer M.D..

Where is Theresa Bourne located?

Theresa Bourne practices at 8821 Columbia 100 Pkwy, Columbia, MD 21045. The listed phone number is (410) 997-1700.

What is Theresa Bourne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Theresa Bourne enrolled in Medicare?

Yes. Theresa Bourne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Bourne was last updated on June 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.