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GLORIA RODARTE BRUN, M. D., P. A.
NPI 1255462917
Psychiatry & Neurology - Child & Adolescent Psychiatry in Greenville, TX

Active since March 07, 2007
5604 WESLEY ST, STE. 101, GREENVILLE, TX 75402(903) 454-9404(903) 454-2129 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gloria Rodarte Brun, M. D., P. A. NPPES

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

GLORIA RODARTE BRUN, M. D., P. A. (NPI 1255462917) is a healthcare organization registered as a child & adolescent psychiatry in Greenville, Texas and active in the NPI registry since March 2007. The organization lists Gloria Rodarte Brun, President, as its authorized official.

NPPES Registry Identity

NPI1255462917
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameGLORIA RODARTE BRUN, M. D., P. A.
Location Address5604 WESLEY ST, STE. 101Greenville, TX 75402-6326
Mailing Address5604 Wesley St, Ste. 101Greenville, TX 75402-6326 · (903) 454-9404 · Fax (903) 454-2129
Phone(903) 454-9404
Fax(903) 454-2129
Organization SubpartNo
Authorized OfficialGloria Rodarte BrunPresident · (903) 454-9404
Enumeration DateMarch 7, 2007
Last NPPES UpdateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1255462917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in TX · J6890
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
5604 WESLEY ST, Greenville, TX 75402
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Other Identifiers 1

Medicaid0356321-01TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gloria Rodarte Brun, M. D., P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gloria Rodarte Brun, M. D., P. A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Gloria Brun, M.D.
Psychiatry
NPI 1417088154
5604 WESLEY ST STE. 101
Greenville, TX 75402
(903) 454-9404
✔ PECOS✔ Accepts MedicareSame address
Kamala Fields, F NP-C
Nurse Practitioner
NPI 1558471995
4501 JOE RAMSEY BLVD SUITE 100
Greenville, TX 75402
(903) 408-5800
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Rodarte Brun, M. D., P. A.'s NPI number?

The NPI number for Gloria Rodarte Brun, M. D., P. A. is 1255462917. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Gloria Rodarte Brun, M. D., P. A. located?

Gloria Rodarte Brun, M. D., P. A. is located at 5604 Wesley St Ste. 101, Greenville, TX 75402. The listed phone number is (903) 454-9404.

What is Gloria Rodarte Brun, M. D., P. A.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Gloria Rodarte Brun, M. D., P. A. enrolled in Medicare?

Yes. Gloria Rodarte Brun, M. D., P. A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gloria Rodarte Brun, M. D., P. A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gloria Rodarte Brun, M. D., P. A., in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gloria Rodarte Brun, M. D., P. A. was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.