Bradley J Tissier, MD is a
Surgery physician based in Ofallon, Illinois. Bradley J Tissier is licensed to practice in Illinois (license number ) and his current practice location is 1512 N Greenmount Rd, Suite 107, Ofallon, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 628-1717.
NPI number for Bradley J Tissier is 1871673491 and his current mailing address is 1512 N Greenmount Rd, Suite 107, Ofallon, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871673491.
Physician's Profile
Full Name | Bradley J Tissier |
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Gender | Male |
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Speciality | Surgery |
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Location | 1512 N Greenmount Rd, Ofallon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871673491
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bradley J Tissier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871673491 | NPI | - | NPPES |
08222484 | Other | IL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | (Illinois) | Primary |
208600000X | Surgery | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley J Tissier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bradley J Tissier, MD 1512 N Greenmount Rd, Suite 107, Ofallon, IL 62269-1953 Ph: (618) 628-1717 | Bradley J Tissier, MD 1512 N Greenmount Rd, Suite 107, Ofallon, IL 62269-1953 Ph: (618) 628-1717 |
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