Active NPIIndividual provider

Dr. Richard A Crandall III, MD

Family Medicine in Berlin, Vermont

NPI Number1902087190
Practice location
1093 Brookfield RD, Berlin, VT 05602-9065
Fax
—
Last updated
September 9, 2020

Richard Andrews Crandall is a Family Medicine based in Berlin, VT. Richard Andrews Crandall practices in Berlin, VT and has the professional credentials of MD. The NPI Number for Richard Andrews Crandall is 1902087190 and holds a License No. 0420012390 (VT). The current practice location address for Richard Andrews Crandall is 1093 Brookfield RD, Berlin, VT 05602-9065 and can be reached out via phone at 717-368-6346.

Provider Profile Details

NPI Number
1902087190
Provider Name
Richard Andrews Crandall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1093 Brookfield RD, Berlin, VT 05602-9065
Phone Number
717-368-6346
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2007
Last Update Date
September 9, 2020
Certification Date
September 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1093 Brookfield RD
Berlin, VT 05602-9065
City
Berlin
State
Vermont
Zip
05602-9065
Phone Number
717-368-6346
Berlin, VT 05602Get directions →

Provider Business Mailing Address Details

Address
1093 Brookfield RD
Berlin, VT 05602-9065
City
Berlin
State
VT
Zip
05602-9065
Phone Number
717-368-6346

License Information

License Number (1)
0420012390
License State (1)
VT
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
G88844
License State (2)
CA
Taxonomy (2)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Richard A Crandall III, MD?

The NPI number of Dr. Richard A Crandall III, MD is 1902087190. It was assigned on November 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Richard A Crandall III, MD?

Dr. Richard A Crandall III, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 0420012390.

Where does Dr. Richard A Crandall III, MD practice?

The practice location is 1093 Brookfield RD, Berlin, VT 05602-9065. The office can be reached at 717-368-6346 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902087190 directly on the NPPES registry website.

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