| Dr Jack Ryan Brandau, DO | |
|
2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-2111 | |
| (910) 907-8922 | |
| Not Available |
| Full Name | Dr Jack Ryan Brandau |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114007226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2025-02975 (North Carolina) | Primary |
| 208600000X | Surgery | 0116018906 (Virginia) | Secondary |
| 208600000X | Surgery | 20A18790 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Fear Valley Health Medical Group Llc | 0648707109 | 352 |
| Entity Name | Cape Fear Valley Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957655 PECOS PAC ID: 0648707109 Enrollment ID: O20241220003892 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Ryan Brandau, DO 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001 Ph: (910) 907-8922 | Dr Jack Ryan Brandau, DO 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-2111 Ph: (910) 907-8922 |
John Jay Osborn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Mr. Adam Randolph Pattyn, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Elizabeth A Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-6000 |
Dr. Bradford Joseph Scanlan, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Bragg, NC 28310 Phone: 910-907-6237 |
Thomas Michael Kelley Jr., Surgery Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-7624 |
Dr. Aaron Lane, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-6000 |
Dr. Simon Hovannes Telian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310 Phone: 910-907-6053 |