Healthcare Provider Details

I. General information

NPI: 1154826477
Provider Name (Legal Business Name): BRENTLEY ADAM LINDSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 OAK CENTRE DR STE 350
SAN ANTONIO TX
78258-3945
US

IV. Provider business mailing address

PO BOX 5730
BELFAST ME
04915-5700
US

V. Phone/Fax

Practice location:
  • Phone: 210-890-5444
  • Fax: 210-593-3099
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberV3368
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: