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

Dr. Bailey Dianne Brevell, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104512078

Dr. Bailey Dianne Brevell, DO is a Pediatric Medicine in San Antonio, Texas. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2023, 3 years ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
3
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone: (210) 704-3910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17600 Interstate 45 S, The Woodlands, TX 77384-5148 — (936) 267-5000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence W5281 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104512078
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address333 N Santa Rosa, San Antonio, TX 78207-3108

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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