Gloria Rodarte Brun, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

J6890 Issued in TX

Practice address

5604 Wesley St
Ste. 101
Greenville, TX 75402-6326

Phone

(903) 454-9404

Fax

(903) 454-2129

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Texas Tech University Health Science Center School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gloria Rodarte Brun, M. D., P. a.Group PAC ID 4789743899, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gloria Rodarte Brun, M. D., P. a.

  • Child & Adolescent Psychiatry Physician
  • Greenville, TX
  • NPI 1255462917
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1417088154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WESLEY ST",
            "address_2": "STE. 101",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026326",
            "telephone_number": "903-454-9404",
            "fax_number": "903-454-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WESLEY ST",
            "address_2": "STE. 101",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026326",
            "telephone_number": "903-454-9404",
            "fax_number": "903-454-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUN",
        "first_name": "GLORIA",
        "middle_name": "RODARTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J6890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356321-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "162037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Brooks, WHNP-BC
• Victoria E Brooks, PTA
• Brookshire Grocery Company
• Brookshire Grocery Company
• Sheryl W Brown
• Nhat Bui
• Laney Beth Bullock, FNP-C
• Elizabeth Sarah Burgos, APRN, PMHNP-BC
• Damon Curtis Burnette Sr.
• Stephanie Buses, OTR

• Child & Adolescent Psychiatry Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.