To provide continuous and reliable real-time precise positioning services in challenging environments and poor internet conditions, the real-time precise corrections of the BeiDou global navigation satellite system (BDS-3) PPP-B2b signal are utilized to correct the satellite orbit errors and clock offsets. In addition to this, using the complementary characteristics of the inertial navigation system (INS) and the global navigation satellite system (GNSS), a PPP-B2b/INS tight integration model is established. With observation data collected in an urban environment, the results show that PPP-B2b/INS tight integration can ensure a decimeter-level positioning accuracy; the positioning accuracies of the E, N, and U components are 0.292, 0.115, and 0.155 m, respectively, which can provide a continuous and secure position during short interruptions in the GNSS. However, there is still a gap of about 1 dm compared with the three-dimensional (3D) positioning accuracy obtained from Deutsche GeoForschungsZentrum (GFZ) real-time products, and a gap of about 2 dm compared with the GFZ post-precise products. Using a tactical inertial measurement unit (IMU), the velocimetry accuracies of the tightly integrated PPP-B2b/INS in the E, N, and U components are all about 0.3 cm/s, and the attitude accuracy of yaw is about 0.1 deg, while the pitch and roll show a superior performance of less than 0.01 deg. The accuracies of the velocity and attitude mainly depend on the performance of the IMU in the tight integration mode, and there is no significant difference between using real-time products and post products. The performance of the microelectromechanical system (MEMS) IMU and tactical IMU is also compared, and the positioning, velocimetry, and attitude determinations with the MEMS IMU are significantly worsened.