Individual provider Active NPI

Brandon Keith Tilley, M.D.

  • Family Medicine Physician
  • Saint Francisville, LA
National Provider Identifier
1346413358
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205178 Issued in LA
Practice address
5266 Commerce St BLDG a
Saint Francisville, LA 70775-4409
Phone
(225) 635-3269
Fax
(855) 392-3007
NPI assigned
Apr 10, 2008
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205178 LA Primary

Addresses

Primary practice location

5266 Commerce St BLDG a
Saint Francisville, LA 70775-4409

Mailing address

PO Box 387
Saint Francisville, LA 70775-0387
Phone (225) 635-3269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130314000464 LA Practitioner - Family Practice 1850536103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital Service District of West Feliciana Parish Louisiana Current Accepting new patients
Daniel Services LLC Family Medicine Past Accepting new patients
The Hospital Service District of West Feliciana Parish Louisiana Past Accepting new patients

Locations

5266 Commerce St
Bldg A
Saint Francisville, LA 70775
Phone (225) 635-2441

5266 Commerce St
St Francisvle, LA 70775
Phone (225) 635-3811

Interoperability endpoints

  • Direct secure messaging: brandon.tilley.1@18086.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1346413358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707750387",
            "telephone_number": "225-635-3269",
            "fax_number": "855-392-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 COMMERCE ST BLDG A",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707754409",
            "telephone_number": "225-635-3269",
            "fax_number": "855-392-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "BRANDON",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "205178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francisville, LA

Sources for this page

Verify at the official NPI Registry.