Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brett Bienville Tisdale, MD

Individual provider Emergency Medicine Physician · NPI 1699754572

Dr. Brett Bienville Tisdale, MD is an Emergency Medicine in McComb, Mississippi. Graduated from Louisiana State University School of Medicine in New Orleans in 1993, 33 years ago. Practices with Statcare PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
33
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1017 Delaware Ave
McComb, MS 39648-3827
Phone: (601) 250-1122
Fax: (601) 250-0290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 13987 (MS)

Record details

NPI number1699754572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESMarch 16, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1993 (33 years in practice)
Group practice Statcare Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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