Who is Dr. Bruel, Interventional Pain Medicine Specialist in Houston, TX?
Dr. Brian Bruel, MD is an Interventional Pain Medicine Specialist, who primarily practices in Houston, TX with 2 additional practice locations. He is board certified. Dr. Bruel completed his residency at Baylor College of Medicine Affiliated Hospitals.
Dr. Bruel is fluent in English and Tagalog, and is currently seeing new patients. Dr. Bruel’s practice accepts Medicare, UnitedHealthcare, Aetna, Cigna and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Bruel’s office at (713) 568-6095.
What are Areas of Expertise for Dr. Bruel?
Dr. Brian Bruel, MD is a highly-rated, board-certified Interventional Pain Medicine Specialist known for expertly diagnosing, treating, and managing a wide array
of related conditions or procedures. Utilizing the latest medical advancements and evidence-based practices, Dr. Bruel empowers
patients to confidently navigate their health journey, specializing in Pain Medicine, or comprehensive
wellness support. Serving
the Houston/TX community, Dr. Bruel is dedicated to enhancing lives through expert, patient-centered care.
Where did Dr. Bruel go to medical school and complete their residency?
Fellowship: Clinical Fellowship, Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, Madhuri Are, MD
Residency: Baylor College of Medicine Affiliated Hospitals | University of Texas Health Science Center at Houston and Affiliated Hospitals | Baylor College of Medicine Affiliated Hospitals | University of Texas Health Science Center at Houston and Affiliated Hospitals
Is Dr. Bruel board certified as an Interventional Pain Medicine Specialist?
Yes, Dr. Brian Bruel, MD is board certified by the American Board of Physical Medicine and Rehabilitation
What languages does Dr. Bruel speak?
Dr. Bruel and their clinical team can communicate with patients in the following languages:
English
Tagalog
What conditions does Dr. Bruel treat?
As an Interventional Pain Medicine Specialist, Dr. Bruel diagnoses, treats, and manages
a wide range of conditions. This condition information is derived from anonymized
insurance claims and highlights the medical conditions most commonly treated
by Dr. Bruel. It provides insight into the doctor’s areas of experience
and expertise based on real-world patient encounters from the past two years, updated quarterly.
Also known as:
Other Long-Term Drug Therapy
Chronic medication use
Ongoing drug treatment
Extended drug therapy
ICD-10 Codes:
Z79899: Other long term (current) drug therapy
Also known as:
Pinched Nerve in Lower Back
Pinched Nerve in Neck
Back Pain
Peripheral Nerve Disorder
Neck Injuries and Disorder
Lumbar Radiculopathy
Lower Back Nerve Compression
Compressed Nerve in Lower Back
Cervical Radiculopathy
Neck Nerve Compression
Compressed Nerve in Neck
ICD-10 Codes:
M5416: Radiculopathy, lumbar region
M5412: Radiculopathy, cervical region
Also known as:
Lower Back Spondylosis
Neck Spondylosis
Spine Injuries and Disorder
Neck Injuries and Disorder
Lumbar Spondylosis
Lower Back Arthritis
Degenerative Lumbar Spine Disease
Cervical Spondylosis
Neck Arthritis
Degenerative Neck Disease
ICD-10 Codes:
M47816: Spondylosis without myelopathy or radiculopathy, lumbar region
M47812: Spondylosis without myelopathy or radiculopathy, cervical region
Also known as:
Sacroiliac Joint Inflammation
Back Pain
SI Joint Inflammation
Sacroiliac Dysfunction
Inflamed SI Joint
ICD-10 Codes:
M461: Sacroiliitis, not elsewhere classified
Also known as:
Chronic pain syndrome
Chronic Pain
Persistent pain syndrome
Long-term pain condition
Chronic widespread pain
ICD-10 Codes:
G894: Chronic pain syndrome
Also known as:
Anxiety Disorder
Anxiety
General Anxiety
Anxiety Problems
Nervous Disorder
ICD-10 Codes:
F419: Anxiety disorder, unspecified
Also known as:
Muscle Cramps
Muscle Spasms
Charley Horse
Leg Cramps
ICD-10 Codes:
R252: Cramp and spasm
What procedures does Dr. Bruel perform?
As an Interventional Pain Medicine Specialist, Dr. Bruel performs a variety of medical procedures.
This procedure information is derived from anonymized insurance claims and highlights
the medical procedures most commonly performed by Dr. Bruel. It provides insight
into the doctor’s areas of experience and expertise based on real-world patient encounters
from the past two years, updated quarterly.
Also known as:
Sacroiliac Joint Injection
Lumbar or Sacral Epidural Injection (Guided)
Multiple Trigger Point Injections
Guided Facet Joint Injection (Neck/Upper Back)
Stellate Ganglion Nerve Block
Spinal Nerve Block Injection
SI joint injection
Sacroiliac steroid injection
Image-guided SI joint injection
Sacroiliac joint block
Transforaminal Epidural Injection
Spinal Nerve Block
Lower Back Pain Injection with Guidance
Trigger Point Release Injections
Muscle Pain Injections
Myofascial Pain Injections
Paravertebral Facet Joint Injection
Cervical Facet Injection
Thoracic Facet Injection
Zygapophyseal Joint Injection
Cervical Sympathetic Block
Stellate Ganglion Injection
Nerve Block for Pain
Sympathetic Nerve Block
Cervical Epidural Injection
Thoracic Epidural Injection
Nerve Root Block
CPT Codes:
27096: Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed
64484: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
20553: Injection(s); single or multiple trigger point(s), 3 or more muscles
64490: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level
64479: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level
Also known as:
Lumbar Transforaminal Epidural Injection
Facet Joint Injection (Lower Back/Sacrum)
Epidural Steroid Injection
Lumbar or Sacral Epidural Injection with Imaging
TFESI (Lumbar)
Nerve Root Block (Lumbar)
Lower Back Nerve Injection with Imaging
Lumbar Facet Joint Injection
Sacral Facet Joint Injection
Paravertebral Facet Injection
Lower Back Pain Injection (Guided)
Cervical Epidural Injection
Thoracic Epidural Injection
Spinal Nerve Block
Pain Relief Spinal Injection
Caudal Epidural Injection
Pain Management Injection
CPT Codes:
64483: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level
64493: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level
62321: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)
62323: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)
64494: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)
64636: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)
Also known as:
Facet Joint Nerve Ablation (Lumbar/Sacral)
Implantable Pain Pump Placement
Nerve Burning for Back Pain (Additional Vertebra)
Lumbar Facet Joint Denervation
Sacral Facet Nerve Block
Radiofrequency Ablation for Back Pain
Intrathecal Drug Pump Implantation
Epidural Drug Pump Placement
Programmable Pain Pump Surgery
Basivertebral Nerve Ablation
Lumbar Nerve Destruction
Sacral Nerve Destruction
Spinal Nerve Radiofrequency Ablation
CPT Codes:
64635: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint
62362: Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming
64629: Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)
Also known as:
Sciatic Nerve Pain Injection
Greater Occipital Nerve Block
Trigeminal Nerve Block
Knee Nerve Pain Injection
Superior Hypogastric Plexus Nerve Block
Lumbar or Thoracic Sympathetic Nerve Block
Sphenopalatine Ganglion Block
Sciatic Nerve Block
Sciatica Injection
Steroid Injection for Sciatica
Pain Relief for Sciatic Nerve
Occipital Nerve Injection
Headache Nerve Block
Steroid Injection for Occipital Neuralgia
Trigeminal Nerve Injection
Facial Nerve Block
Ophthalmic Nerve Block
Maxillary Nerve Block
Genicular Nerve Block
Knee Pain Steroid Injection
Knee Nerve Anesthetic Injection
Pelvic Nerve Block
Hypogastric Plexus Injection
Chronic Pelvic Pain Injection
Sympathetic Nerve Block (Back)
Paravertebral Sympathetic Injection
Lower Back Nerve Block for Pain
SPG Block
Nasal Ganglion Block
CPT Codes:
64445: Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed
Spinal Catheter Placement for Long-Term Medication
Epidural neurostimulator placement
Percutaneous spinal stimulator
SCS implant
Intrathecal Catheter Implantation
Epidural Catheter for Pain Pump
Spinal Drug Delivery System
CPT Codes:
63650: Percutaneous implantation of neurostimulator electrode array, epidural
62350: Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy
Also known as:
Facet Joint Nerve Ablation (Neck/Mid-Back)
Heat Treatment for Back Pain Nerve (Basivertebral Nerve)
Radiofrequency Ablation Facet Joint
Cervical Facet Nerve Destruction
Thoracic Facet Nerve Block
Spine Nerve Ablation
Basivertebral nerve ablation
Intraosseous nerve destruction
Radiofrequency ablation for back pain
Vertebral nerve thermal destruction
CPT Codes:
64634: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)
64628: Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral
Also known as:
Peripheral Nerve Block
Genicular Nerve Block for Knee Pain
Nerve Destruction for Pain
Nerve injection
Pain relief injection
Steroid injection for nerve pain
Knee Nerve Ablation
Genicular Nerve Neurolysis
Nerve Destruction for Knee Pain
Neurolytic nerve block
Peripheral nerve ablation
Nerve destruction procedure
CPT Codes:
64450: Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch
64624: Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed
64640: Destruction by neurolytic agent; other peripheral nerve or branch
Also known as:
Implanted Pain Pump Management
Intrathecal Pump Reprogramming
Epidural Pump Refill
Pain Pump Evaluation
Drug Infusion Pump Management
CPT Codes:
62370: Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring skill of a physician or other qualified health care professional)
Also known as:
Nerve Ablation for Neck or Upper Back Pain
Facet Joint Nerve Ablation
Radiofrequency Ablation (RFA) Neck
Cervical Facet Denervation
Thoracic Facet Nerve Block
CPT Codes:
64633: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint
Also known as:
Botox Injections for Chronic Migraine
Chemodenervation for Migraine
Botulinum Toxin Injection for Migraine
Facial Nerve Block
Trigeminal Nerve Block
CPT Codes:
64615: Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)
Also known as:
Botox Injection for Neck Muscle Spasms
Chemodenervation of neck muscles
Botulinum toxin injection for cervical dystonia
Neck spasm injection
CPT Codes:
64616: Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)
Also known as:
Spinal Pain Stimulator Device Revision or Removal
Revision or Replacement of Spinal Neurostimulator Electrodes
Spinal neurostimulator removal
Spinal cord stimulator revision
Implanted pain device removal
Spinal cord stimulator electrode revision
Neurostimulator lead replacement
Spinal pain stimulator adjustment
CPT Codes:
63688: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array
63663: Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
Also known as:
Spinal Cord Stimulator Insertion
Spinal Neurostimulator Placement
SCS Implantation
Back Pain Stimulator Surgery
CPT Codes:
63685: Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver
Also known as:
Reprogramming of Implanted Pain Pump
Intrathecal pump reprogramming
Epidural pump adjustment
Pain pump electronic analysis
Implanted drug pump management
CPT Codes:
62368: Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming
64642: Chemodenervation of one extremity; 1-4 muscle(s)
Also known as:
Neurostimulator Device Implantation (Peripheral, Sacral, or Gastric)
Nerve Stimulator Implant
Sacral Neuromodulation Device
Gastric Stimulator Placement
Peripheral Nerve Stimulator
CPT Codes:
64590: Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver
Also known as:
Removal of Pain Pump or Reservoir
Intrathecal pump removal
Epidural reservoir removal
Spinal drug pump removal
CPT Codes:
62365: Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion
Also known as:
Spinal Neurostimulator Electrode Removal
Spinal Stimulator Electrode Removal
Percutaneous Neurostimulator Array Removal
Spinal Cord Stimulator Lead Removal
CPT Codes:
63661: Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
Also known as:
Shunt Puncture for Fluid or Medicine
Shunt aspiration
Shunt injection
Reservoir tap
Ventricular shunt access
CPT Codes:
61070: Puncture of shunt tubing or reservoir for aspiration or injection procedure
Also known as:
Cervical or Thoracic Transforaminal Epidural Injection with Imaging
Transforaminal epidural steroid injection (TFESI)
Cervical nerve root block
Thoracic nerve block with fluoroscopy
CPT Codes:
64480: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code for primary procedure)
Also known as:
Joint or Bursa Injection/Fluid Removal
Major Joint Injection or Fluid Removal with Ultrasound
Ultrasound-Guided Joint or Bursa Injection/Aspiration
Arthrocentesis
Major Joint Aspiration
Bursa Injection
Joint Fluid Removal
Ultrasound-Guided Arthrocentesis
Shoulder Injection with Ultrasound
Hip Aspiration with Ultrasound
Knee Injection with Ultrasound
Intermediate Joint Aspiration with Ultrasound
Bursa Injection with Ultrasound
CPT Codes:
20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
20611: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting
20606: Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting
Also known as:
Facet Joint Injection (Neck/Upper Back)
Injection for Tendon or Ligament Pain
Cervical Facet Injection
Thoracic Facet Injection
Zygapophyseal Joint Injection
Spinal Joint Injection
Tendon sheath injection
Ligament injection
Plantar fascia injection
Soft tissue injection for pain
CPT Codes:
64491: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)
20550: Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")
Also known as:
Tendon or Ligament Pain Injection
Tendon Injection
Ligament Injection
Soft Tissue Injection
Pain Relief Injection (Tendon/Ligament)
CPT Codes:
20551: Injection(s); single tendon origin/insertion
Also known as:
Minimally Invasive Lumbar Spine Decompression
Kyphoplasty for Lumbar Spine Fracture
Percutaneous Laminotomy
Lumbar Laminectomy
Spinal Decompression Surgery
Image-Guided Spine Surgery
Vertebral Augmentation (Lumbar)
Percutaneous Kyphoplasty (Lower Back)
Spine Fracture Repair (Lumbar)
CPT Codes:
0275T: Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar
22514: Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar
Also known as:
Joint or Bursa Injection/Aspiration
Arthrocentesis
Joint Fluid Removal
Bursa Injection
CPT Codes:
20605: Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance
Also known as:
Minimally Invasive Sacroiliac Joint Fusion
SI Joint Fusion (MIS)
Percutaneous Sacroiliac Arthrodesis
Image-Guided SI Joint Fusion
Sacroiliac Joint Stabilization
CPT Codes:
27279: Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive (Indirect Visualization), With Image Guidance, Includes Obtaining Bone Graft When Performed, And Placement Of Transfixation Device
Also known as:
Multiple Tendon Release (Leg)
Percutaneous Tenotomy
Hamstring Tendon Release
Adductor Tendon Release
Minimally Invasive Tendon Surgery
CPT Codes:
27307: Tenotomy, percutaneous, adductor or hamstring; multiple tendons
Also known as:
Small Joint or Bursa Injection/Aspiration
Joint Tap
Bursa Fluid Removal
Small Joint Injection
Arthrocentesis
CPT Codes:
20600: Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance
Also known as:
Lumbar Disc Cell Injection
Intervertebral Disc Injection
Stem Cell Disc Injection
Back Pain Cell Therapy
Fluoroscopic Guided Disc Injection
CPT Codes:
0627T: Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level
Does Dr. Bruel accept my insurance?
Dr. Bruel accepts most major insurance plans. Important: Please call our office at (713) 568-6095 before your appointment to verify that your specific plan and network are accepted.
What insurance plans does Dr. Bruel accept in Houston, TX?
Dr. Bruel in Houston, TX accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.
What is Dr. Bruel's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.
Dr. Bruel's National Provider Identifier (NPI) number is 1659563047.
What common questions do patients ask about Dr. Bruel?
Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Bruel
What is Dr. Brian Bruel's specialty?
Dr. Bruel is a Interventional Pain Medicine Specialist near Houston, TX.
Interventional pain medicine focuses on diagnosing and treating pain and related disorders using interventional techniques. It is primarily aimed at managing subacute, chronic, persistent, and intractable pain, either as a standalone treatment or in combination with other therapeutic approaches. Contact Dr. Bruel to book an appointment today.
Is this Dr. Brian Bruel affiliated with a ranked Castle Connolly Top Hospital?
No, Bruel is not affiliated with a Castle Connolly Top Hospital, but is affiliated with the following hospitals:
Memorial Hermann Greater Heights Hospital, Memorial Hermann The Woodlands Medical Center.
Castle Connolly Top Hospitals are identified through a rigorous peer nomination process, evaluating factors like
patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures,
representing the top 25% nationwide.
Castle Connolly Top Hospitals
Where can I learn more about Interventional Pain Medicine Specialist?
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Is Brian Bruel accepting new patients in Houston, TX?
Yes, Dr. Brian Bruel is accepting new patients at this time.
Does Dr. Brian Bruel offer online booking?
Please contact Dr. Bruel's office at (713) 568-6095 for information about online booking, telehealth, or to schedule an appointment.
How can I make an appointment with Brian Bruel?
Please contact Dr. Bruel's office at (713) 568-6095 for information regarding telehealth appointment availability or for scheduling assistance.
Which board certifications does Dr. Brian Bruel have?
Dr. Brian Bruel is certified by the American Board of Physical Medicine and Rehabilitation.
Other Interventional Pain Medicine Specialist Near Houston, TX