Active NPI
Thomas J Carlsen, MD
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Bend, OR
National Provider Identifier
1962407585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- MD12666
- Practice address
- 2200 NE Neff Rd
Ste 200
Bend, OR 97701-4281 - Phone
- (541) 382-3344
- Fax
- (541) 382-1681
- NPI assigned
- Jun 20, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | MD12666 | OR | Primary |
Addresses
Primary practice location
2200 NE Neff Rd
Ste 200
Bend, OR 97701-4281
Mailing address
2200 NE Neff Rd
Ste 200
Bend, OR 97701-4281
Phone (541) 382-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | OR | MD | Periodontist |
| MD12666 | OR | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuromusculoskeletal Center of the Cascades PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962407585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD",
"address_2": "STE 200",
"city": "BEND",
"state": "OR",
"postal_code": "977014281",
"telephone_number": "541-382-3344",
"fax_number": "541-382-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD",
"address_2": "STE 200",
"city": "BEND",
"state": "OR",
"postal_code": "977014281",
"telephone_number": "541-382-3344",
"fax_number": "541-382-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSEN",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "OR",
"license": "MD12666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.