Bradley Jack Tishman
NPI 1033783584ActiveIndividual· Family Medicine· La Grande, OR
Family Medicine in La Grande, Oregon, trained at Lake Erie Col of Osteo Med at Seton Hill Univ (class of 2021). Part D covered 619 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1033783584 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 19, 2021 |
| Last updated in NPPES | Aug 28, 2024 |
| Certified by provider | Aug 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO219893 | OR |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (OR) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 619 · 1,283 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $83,651 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Lake Erie Col of Osteo Med at Seton Hill Univ |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Family Practice |
Medical group
- Grande Ronde Hospital IncLa Grande, OR · 97 clinicians
Hospital affiliation
- Grande Ronde HospitalLa Grande, OR
Other facilities
- Grande Ronde Hospital Home Care ServicesHome health agency · La Grande, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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