BRIAN TILLIS MD – NPI #1396107405
Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
BRIAN TILLIS is a physician located in PLEASANT PRAIRIE, WI. NPPES has assigned the NPI number 1396107405 to BRIAN TILLIS on March 28, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.
The NPI profile was previously updated about 6 years ago on Jul 16, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIAN TILLIS below.
NPI Profile for
BRIAN TILLIS
(more than 10 years ago)
PLEASANT PRAIRIE, WI 53158-1984 Phone: (262) 577-8080 Fax: (262) 577-8081
PLEASANT PRAIRIE, WI 53158-1984 Phone: (262) 577-8080 Fax: (262) 577-8081
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BRIAN TILLIS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | WI LICENSE | WI | 69543-20 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207V00000X - Obstetrics & Gynecology (Primary) |
WI | 69543-20 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
BRIAN TILLIS is affiliated with the following medical group(s):
- HOSPITAL
- UNITED HOSPITAL SYSTEM6308 EIGHTH AVE
KENOSHA, WI 53143
- UNITED HOSPITAL SYSTEM6308 EIGHTH AVE
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