Bradley J. Tissier, MD
Obstetrics & Gynecology · Ofallon, IL
UnclaimedMDNPI 1871673491
- Primary taxonomy
- 207V00000X
- Enumerated
- 2006-10-17
- Practice location
- Ofallon, IL
- Last NPPES update
- 2025-09-11
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONInactivethrough 2026
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.