BRIGHAM CRAIG WILLIS MD
NPI 1598701500
Pediatrics - Pediatric Critical Care Medicine in Tyler, TX

Active since June 20, 2006PECOS Enrolled
11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7480 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2024, Jan 26, 2023, Nov 30, 2022 and 1 more (4 updates tracked since 2020).

About Brigham Craig Willis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHAM CRAIG WILLIS MD (NPI 1598701500) is an individual pediatric critical care medicine provider in Tyler, Texas, licensed in Texas (L9556) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1598701500
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameBRIGHAM CRAIG WILLISCredential: MD
Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7480
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateNovember 7, 20244 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1598701500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in TX · L9556✔ Licensed in CA · A71310✔ Licensed in AZ · 36689
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License A71310 (CA)
11937 US HIGHWAY 271, Tyler, TX 75708

Secondary Practice Locations 4

Location 1900 University AveRiverside, CA 92521-7710 · Phone (951) 827-7675
Location 21919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-2311
Location 33020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 966-5855
Location 4800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-7587

Other Identifiers 2

Medicaid167824501TX
Medicaid195165AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brigham Craig Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Brigham Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neuromusculoskeletal Medicine, Sports Medicine
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Unit
11937 US HIGHWAY 271
TYLER, TX 75708
Surgery (Trauma Surgery)
11937 US HIGHWAY 271
TYLER, TX 75708
Pharmacist
11937 US HIGHWAY 271
TYLER, TX 75708
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Nurse Practitioner (Primary Care)
11937 US HIGHWAY 271
TYLER, TX 75708
Hospitalist
11937 US HIGHWAY 271
TYLER, TX 75708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brigham Willis's NPI number?

The NPI number for Brigham Willis is 1598701500. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Brigham Willis located?

Brigham Willis practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7480.

What is Brigham Willis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Brigham Willis enrolled in Medicare?

Yes. Brigham Willis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brigham Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brigham Willis reassigns Medicare benefits to 2 organizations: University Of Texas Health Science Center At Tyler-Facility-Physician (Tyler, TX) and Christus Trinity Clinic Texas (Tyler, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brigham Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brigham Willis accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Brigham Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brigham Willis was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.