Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Robert Crandall, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1104125780

Keith Robert Crandall, DPM is a Podiatry in Tyler, Texas. Graduated from Kent State University College of Podiatric Medicine in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Ohio and Texas.

Years since qualifying
16
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OH, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1605 Stafford Dr
Tyler, TX 75703-0839
Phone: (903) 941-9247
Fax: (888) 503-2519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2066 (TX)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence BN6420119-057356 (OH)

Record details

NPI number1104125780
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 21, 2011
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address1605 Stafford Dr, Tyler, TX 75703-0839

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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