Individual provider Active NPI

Brandon Cratty

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1053006643
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.018480 Issued in OH
Practice address
141 N Forge St
Akron, OH 44304-1407
Phone
(330) 375-3361
NPI assigned
Apr 10, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.018480 OH Primary

Addresses

Primary practice location

141 N Forge St
Akron, OH 44304-1407

Mailing address

141 N Forge St
Akron, OH 44304-1407
Phone (330) 375-3361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703003305 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5991249781

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

133 Hunt Club Dr
Apt 3D
Copley, OH 44321-2704

4535 Dressier Rd NW
Canton, OH 44718-2545

55 Arch St
Suite 1B
Akron, OH 44304-1436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34.018480OHMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1053006643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041407",
            "telephone_number": "330-375-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041407",
            "telephone_number": "330-375-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATTY",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.018480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.