DR. GLORIA RODARTE BRUN (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1417088154

DR. GLORIA RODARTE BRUN (M.D.) is a healthcare provider. based in Greenville, Texas. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. J6890 (TX). The NPI Number for DR. GLORIA RODARTE BRUN (M.D.) is 1417088154

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLORIA RODARTE BRUN (M.D.)
NPI
1417088154
Phone
(903) 454-9404
Address
5604 WESLEY ST
Enumeration Date
7 March 2007
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9034549404
Graduation Year
1989 (37 years ago)
PAC ID
5092603852
Group Practice PAC ID
4789743899
Professional Enrollment ID
I20040304001189
Address ID
TX754026326GR5604XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for DR. GLORIA RODARTE BRUN (M.D.)

  • 5604 WESLEY ST

    STE. 101

    GREENVILLE, TX 754026326

    Phone: (903) 454-9404

    Fax: (903) 454-2129

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 176 Open Payments records for all available years, with a total value of $3,139.

Total Amount is formed as General ($3,139) + Research ($0) + Ownership ($0) = $3,139.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($593).

Total Amount

$3,139

General + Research + Ownership

Payments

176

Total payment records

General Amount

$3,139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040304001189IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90833Psychotherapy with evaluation and management visit, 30 minutes8922$0
99214Established patient office or other outpatient visit, 30-39 minutes7019$0
99213Established patient office or other outpatient visit, 20-29 minutes4617$0
View full utilization report →

Insurance plans in this area (ZIP 75402)

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Provider's Procedures

DR. GLORIA RODARTE BRUN (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYTX90836Psychotherapy, 45 minutes with patient and/or family member14143

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789743899View full group profile
NameSpecialtyState
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify DR. GLORIA RODARTE BRUN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1417088154 for DR. GLORIA RODARTE BRUN (M.D.).
Does the public listing show DR. GLORIA RODARTE BRUN (M.D.) as active?
DR. GLORIA RODARTE BRUN (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. GLORIA RODARTE BRUN (M.D.)?
NPPES ties DR. GLORIA RODARTE BRUN (M.D.) to Child & Adolescent Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GLORIA RODARTE BRUN (M.D.)?
DR. GLORIA RODARTE BRUN (M.D.) shows a connection to Greenville, Texas in registry-derived data.
Can I export DR. GLORIA RODARTE BRUN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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