Active NPI
David E Crandall, DO
- Internal Medicine Physician
- Clifton Forge, VA
National Provider Identifier
1053391698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102037024
- Practice address
- 901 McCormick Blvd
Clifton Forge, VA 24422-1037 - Phone
- (540) 862-4205
- NPI assigned
- Jan 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102037024 | VA | Primary |
Addresses
Primary practice location
901 McCormick Blvd
Clifton Forge, VA 24422-1037
Mailing address
901 McCormick Blvd
Clifton Forge, VA 24422-1037
Phone (540) 862-4205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5877997 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250211001694 | VA | Order and Referring Only - Internal Medicine | 2365637386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053391698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MCCORMICK BLVD",
"city": "CLIFTON FORGE",
"state": "VA",
"postal_code": "244221037",
"telephone_number": "540-862-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MCCORMICK BLVD",
"city": "CLIFTON FORGE",
"state": "VA",
"postal_code": "244221037",
"telephone_number": "540-862-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "DAVID",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102037024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5877997",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clifton Forge, VA
- Layla Booth, LMT
- Carilion Healthcare Corporation (Carilion Clinic Family Medicine)
- Carilion Rockbridge Community Hospital (Carilion Clinic Clifton Forge RHC)
- Clifton Forge Health Care LLC (The Woodlands Health & Rehab Center)
- Commonwealth Lifespan Dba Fairview
- Deb's Taxi Service
- Jojeth Dela Cruz
- Farrar's Inc (Mountain Regional Hospice)
- Farrar's Inc (Regional Home Care)
- Ashley Danielle Freeman, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.