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BRADLEY J TISSIER MD
NPI 1871673491
Obstetrics & Gynecology in Ofallon, IL

Active since October 17, 2006
1512 N GREENMOUNT RD, SUITE 107, OFALLON, IL 62269(618) 628-1717(618) 628-1789 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley J Tissier Md NPPES

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

BRADLEY J TISSIER MD (NPI 1871673491) is an individual obstetrics & gynecology provider in Ofallon, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1871673491
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRADLEY J TISSIERCredential: MD
Location Address1512 N GREENMOUNT RD, SUITE 107Ofallon, IL 62269-1953
Mailing Address1512 N Greenmount Rd, Suite 107Ofallon, IL 62269-1953 · (618) 628-1717 · Fax (618) 628-1789
Phone(618) 628-1717
Fax(618) 628-1789
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1871673491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
Also ListedSurgeryTaxonomy 208600000X

Other Identifiers 1

Other08222484IL · Bcbs

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 Bradley Tissier's NPI number?

The NPI number for Bradley Tissier is 1871673491. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Bradley Tissier located?

Bradley Tissier practices at 1512 N Greenmount Rd Suite 107, Ofallon, IL 62269. The listed phone number is (618) 628-1717.

What is Bradley Tissier's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Bradley Tissier was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.