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David Bruce Crandall Jr., D.O.

NPI 1811906522ActiveIndividual· Emergency Medicine· Fort Drum, NY

Emergency Medicine (D.O.) in Fort Drum, New York, licensed in IN and WV, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - emergency medicine.

Overview

NPI1811906522
StatusActive
Entity typeIndividual
CredentialD.O.
Sole proprietorYes
NPI issuedAug 5, 2006
Last updated in NPPESDec 20, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Emergency Medicine Primary207P00000X02003945IN
Emergency Medicine207P00000X1993WV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (WY)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Emergency Medicine providers in Fort Drum

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