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DR. GLEN LOUIS BRUENJES D.D.S.
NPI 1528150653
Dentist - General Practice in Houston, TX

Active since September 28, 2006PECOS Enrolled
909 DAIRY ASHFORD ST, 104, HOUSTON, TX 77079(281) 493-4173(281) 493-4388 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2020, May 28, 2019 (2 updates tracked since 2019).

About Dr. Glen Louis Bruenjes D.d.s. NPPES

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

DR. GLEN LOUIS BRUENJES D.D.S. (NPI 1528150653) is an individual general practice provider in Houston, Texas, licensed in Texas (10801) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528150653
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLEN LOUIS BRUENJESCredential: D.D.S.
Location Address909 DAIRY ASHFORD ST, 104Houston, TX 77079-5309
Mailing Address909 Dairy Ashford Rd Ste 104Houston, TX 77079-5306 · (281) 493-4173 · Fax (281) 493-4388
Phone(281) 493-4173
Fax(281) 493-4388
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJanuary 31, 20202 updates tracked since enumeration
✔ NPI 1528150653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 10801
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 10801 (TX)
909 DAIRY ASHFORD ST, Houston, TX 77079
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glen Louis Bruenjes D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77079 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENDOCRINOLOGY ASSOCIATES OF HOUSTON, PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
909 DAIRY ASHFORD ST, SUITE 205
HOUSTON, TX 77079
Harris County (281) 589-2694
KENNETH O. ALBERS, M.D., P.A.
Family Medicine
909 DAIRY ASHFORD ST, SUITE 216
HOUSTON, TX 77079
Harris County (281) 493-3681
MRS. MARIA TERESA GARCIA DDS,MS
Dentist (General Practice)
909 DAIRY ASHFORD ST, SUITE#203
HOUSTON, TX 77079
Harris County (281) 752-0314
DR. MAYRA EDITH WONG DDS, MS
Dentist (Prosthodontics)
909 DAIRY ASHFORD ST, SUITE 109
HOUSTON, TX 77079
Harris County (281) 752-0314
DR. JEFFREY S BROWN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
909 DAIRY ASHFORD ST, SUITE 205
HOUSTON, TX 77079
Harris County (281) 589-2694
DR. HENRY D THOMPSON,III D.D.S.
Dentist
909 DAIRY ASHFORD ST, SUITE 109
HOUSTON, TX 77079
Harris County (281) 493-5480
DR. KENNETH OTTO ALBERS M.D.
Family Medicine
909 DAIRY ASHFORD ST, SUITE 216
HOUSTON, TX 77079
Harris County (281) 493-3681

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 Glen Bruenjes's NPI number?

The NPI number for Glen Bruenjes is 1528150653. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Glen Bruenjes located?

Glen Bruenjes practices at 909 Dairy Ashford St 104, Houston, TX 77079. The listed phone number is (281) 493-4173.

What is Glen Bruenjes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Glen Bruenjes enrolled in Medicare?

Yes. Glen Bruenjes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glen Bruenjes was last updated on January 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.