NPI age
19 years
Enumerated 2006-06-20
● Active
Type 1 · Individual
Brigham Craig Willis, MD
Willis is 1 of 1 pediatrics providers in Tyler and 1 of 383 in Texas.
Primary specialty
Pediatrics
Plus 3 subspecialties
Licensed in
TX, CA, AZ
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-11-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 383 active pediatrics providers in Texas.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
3 states
Top 71% — 28% of peers are multi-state
Subspecialties
1
In the 58% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
11937 Us Highway 271
Tyler, TX 757083154
Mailing address
11937 Us Highway 271
Tyler, TX 757083154
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
900 University Ave
Riverside, CA 925217710
Location 3
1919 E Thomas Rd
Phoenix, AZ 850167710
Location 4
3020 Childrens Way
San Diego, CA 921234223
Location 5
800 E Dawson St
Tyler, TX 757012036
Specialties
-
Pediatrics PrimaryA 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...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 167824501 | |
| 05 (AZ) | 195165 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.