1. Home
  2. Directory
  3. New York
  4. Fort Drum
  5. Emergency Medicine
  6. NPI Profile

DR. DAVID BRUCE CRANDALL JR. D.O.
NPI 1811906522
Emergency Medicine in Fort Drum, NY

Active since August 05, 2006PECOS Enrolled
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS, FORT DRUM, NY 13602(315) 772-4025(315) 772-9498 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Bruce Crandall Jr. D.o. NPPES

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

DR. DAVID BRUCE CRANDALL JR. D.O. (NPI 1811906522) is an individual emergency medicine provider in Fort Drum, New York, licensed in Indiana (02003945) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811906522
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DAVID BRUCE CRANDALL JR.Credential: D.O.
Location Address11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALSFort Drum, NY 13602-5004
Mailing Address11050 Mount Belvedere Blvd, Usa Meddac, Attn: CredentialsFort Drum, NY 13602-5004 · (315) 772-4025 · Fax (315) 772-9498
Phone(315) 772-4025
Fax(315) 772-9498
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateDecember 20, 2011
✔ NPI 1811906522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IN · 02003945✔ Licensed in WV · 1993
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINVAD000
Medicare PINM400058043IN

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. David Bruce Crandall Jr. D.o. 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 13602 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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 20

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

DR. LAUREL JARVIS PH.D.
Psychologist (Clinical)
11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602
Jefferson County (315) 772-4850
DAVID LEWIS KEYES RPA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-5508
BRADY SIMPKINS PA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (802) 258-0301
MS. MARY ANGELA MACCULLOCH LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7624
DR. ISAAC P MILLS DO
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
SAVITRI MOTAPARTHI M.D.
Pediatrics
11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-4025
DR. LUTHER ROSWELL WIEST D.O.
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-3679
MADISON GERMAN LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 David Crandall's NPI number?

The NPI number for David Crandall is 1811906522. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is David Crandall located?

David Crandall practices at 11050 Mount Belvedere Blvd Usa Meddac, Attn: Credentials, Fort Drum, NY 13602. The listed phone number is (315) 772-4025.

What is David Crandall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Crandall enrolled in Medicare?

Yes. David Crandall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Crandall was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.