Glen L Bruenjes DDS PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GLEN L BRUENJES DDS PLLC

Practice address

909 Dairy Ashford Rd Ste 104
Houston, TX 77079-5306

Phone

(281) 493-4173

Fax

(281) 493-4388

NPI assigned

May 28, 2019

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glen L Bruenjes, DDSNPI 1528150653

Title

Owner

Phone

(281) 493-4173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen Louis Bruenjes, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1528150653

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official
• Evan Christopher Adams, DDS

  • Dentist
  • Houston, TX
  • NPI 1558742106
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1619534567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 DAIRY ASHFORD RD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795306",
            "telephone_number": "281-493-4173",
            "fax_number": "281-493-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DAIRY ASHFORD RD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795306",
            "telephone_number": "281-493-4173",
            "fax_number": "281-493-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN L BRUENJES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "BRUENJES",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-493-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lamont Glazebrook Jr., PHARM. D
• Melanie Gleason, LCSW-S
• Michael William Gleason, MD
• Wallace A Gleason, M.D.
• Peggy Blake Gleeson, PT
• Glencris Construction Inc.
• Glenn L. Morgan M.D.,PA
• Alexandra Glenn, LPC, LCDC
• Chelsea Glenn
• Danielle Glenn, PHARMD

• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.