Brian Tillis, MD
NPI 1396107405 · Obstetrics & Gynecology Physician · Pleasant Prairie, WI
Brian Tillis, MD is a Obstetrics & Gynecology Physician provider in Pleasant Prairie, WI (NPI 1396107405).
Provider details
- NPI number
- 1396107405
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 69543-20 (WI)
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2020-07-16
- Certified
- 2020-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.