Individual provider Active NPI

Brandon McCruel

  • Case Manager/Care Coordinator
  • Cleveland, OH
National Provider Identifier
1194667972
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
18816 Parkmount Ave
Cleveland, OH 44135-4052
Phone
(216) 404-8061
Fax
(216) 404-8061
NPI assigned
Apr 8, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X OH Primary

Addresses

Primary practice location

18816 Parkmount Ave
Cleveland, OH 44135-4052

Mailing address

18816 Parkmount Ave
Cleveland, OH 44135-4052
Phone (216) 404-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1194667972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18816 PARKMOUNT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354052",
            "telephone_number": "216-404-8061",
            "fax_number": "216-404-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18816 PARKMOUNT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354052",
            "telephone_number": "216-404-8061",
            "fax_number": "216-404-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUEL",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.