Healthcare Provider Details

I. General information

NPI: 1881493187
Provider Name (Legal Business Name): BRYCE JAMES THOMSEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS STREET
BOSTON MA
02115
US

IV. Provider business mailing address

60 COLBORNE STREET UNIT #501
TORONTO ONTARIO
M5E0B7
CA

V. Phone/Fax

Practice location:
  • Phone: 617-732-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number1027585
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: