IndividualActive
Bernadette Derussy
NPI 1417480484 · Forensic Pathology Physician · Austin, TX
Provider details
- NPI number
- 1417480484
- Entity type
- Individual
- Primary specialty
- Forensic Pathology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- T0766 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7723 Springdale Rd
Austin, TX 78724-2200
Phone: (313) 739-7430
Approximate (ZIP-level) locationGet directions
Mailing address
7723 Springdale Rd
Austin, TX 78724-2200
Registry dates
- Enumerated
- 2017-04-06
- Last updated
- 2021-07-04
- Certified
- 2021-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.