Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bryan P Tully, MD

Individual provider Internal Medicine Physician · NPI 1134442213

Dr. Bryan P Tully, MD is an Internal Medicine in Rockford, Illinois. Qualified in 2005, 21 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
21
Licensed in
IL, PA
In the registry since
2010
Specialties on file
2
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

5666 E State St
Rockford, IL 61108-2425
Phone: (815) 226-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036-126036 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT191660 (PA)

Record details

NPI number1134442213
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 3, 2010
Last updated in NPPESFebruary 10, 2011
Mailing address5666 East State Street, Rockford, IL 61108-2425

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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