Bruce Edward Thomson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD17359 Issued in OR

Practice address

2400 NW King Blvd
Corvallis Family Medicine PC
Corvallis, OR 97330

Phone

(541) 757-2400

Fax

(541) 757-4719

NPI assigned

Feb 24, 2006

Last updated

Oct 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1386610780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW KING BLVD",
            "address_2": "CORVALLIS FAMILY MEDICINE PC",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-757-2400",
            "fax_number": "541-757-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NW KING BLVD",
            "address_2": "CORVALLIS FAMILY MEDICINE PC",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-757-2400",
            "fax_number": "541-757-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD17359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057294",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenzie Louise Thompson
• Rebecca Thompson
• Sasha M Thompson
• Tanya R Thompson, LCSW
• Zoryana N Thompson, PA-C
• Violet Thorne-Cason
• Brandy Jo Rainey Thorpe
• Jeremy Ryan Thorpe
• Zachary Alois Thorsen
• Thrive Family Therapy

• Family Medicine Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.