Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward Michael Dussom, MD

Individual provider Surgery Physician · NPI 1053805457

Dr. Edward Michael Dussom, MD is a General Surgery in Brighton, Massachusetts. Graduated from Louisiana State University School of Medicine in New Orleans in 2018, 8 years ago. Practices with Boston University General Surgical Associates, Inc, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
MA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

736 Cambridge St
Brighton, MA 02135-2907
Phone: (617) 789-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 Albany Street, Suite 3b, Boston, MA 02118 — (617) 414-4861

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1016197 (MA)
Surgery Physician Taxonomy 208600000X · Licence 276408 (MA)

Record details

NPI number1053805457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2018 (8 years in practice)
Group practice Boston University General Surgical Associates, Inc. — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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