DR. BAILEY DIANNE BREVELL DO
NPI 1104512078
Pediatrics in San Antonio, TX

Q: What is Bailey Brevell's NPI number?

The NPI number for Bailey Brevell is 1104512078. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Bailey Brevell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bailey Brevell was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2023PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3910 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Apr 13, 2023 (2 updates tracked since 2023).

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About Dr. Bailey Dianne Brevell Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BAILEY DIANNE BREVELL DO (NPI 1104512078) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (W5281) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in The Woodlands, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1104512078

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. BAILEY DIANNE BREVELLCredential: DO

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-3910

Phone(210) 704-3910

Sole ProprietorNo

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2023

Enumeration DateApril 13, 2023

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1104512078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · W5281

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

333 N SANTA ROSA, San Antonio, TX 78207

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Secondary Practice Location 1

Location 117600 Interstate 45 SThe Woodlands, TX 77384-5148 · Phone (936) 267-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bailey Dianne Brevell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517435696

PECOS Enrollment IDI20260506003973

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)