Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK RYAN BRANDAU, D.O.
Active Sole ProprietorDR. JACK RYAN BRANDAU, D.O. is a General Surgery healthcare provider located in FORT BRAGG, North Carolina. NPI 1114007226 is currently active in the NPPES registry. Verify at CMS.
General Surgery · FORT BRAGG, NC
Registration Details
- NPI Number
- 1114007226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.683316175214 yrs)
- Last Updated
- Aug 20, 2025
- Licenses
-
20A18790 (CA)0116018906 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTERFORT BRAGG, NC, 283102111Browse NC providers · Browse ZIP 28310
- Phone
- 9109078922
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in FORT BRAGG, NC
| Name | Credential | NPI |
|---|---|---|
| DR. ADAM JARED KAPLAN | M.D. | 1770581738 |
| DR. BRENDA JUDITH ALCOVER-BALLARD | MD | 1225041833 |
| DR. SIMON HOVANNES TELIAN | M.D. | 1215027396 |
| DR. JOHN DAVID RITCHIE | M.D. | 1306041439 |
| DR. JIGARKUMAR A PATEL | M.D. | 1932420353 |
| ELIZABETH A MILLER | M.D. | 1114280468 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.