Individual
DR. JACK RYAN BRANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-2111
(910) 907-8922
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116018906
VA
208600000X
Surgery Physician
Primary
2025-02975
NC
208600000X
Surgery Physician
20A18790
CA
Other
Enumeration date
10/16/2006
Last updated
05/28/2026
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