Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Russowsky Brunoni

Individual provider Psychiatry Physician · NPI 1578357232

Andre Russowsky Brunoni is a Psychiatry in Dallas, Texas. Qualified in 2004, 22 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-9070
Phone: (214) 648-5555
Fax: (214) 648-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 48642 (TX)

Record details

NPI number1578357232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-9070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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