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DR. JACK RYAN BRANDAU D.O.
NPI 1114007226
Surgery in Fort Bragg, NC

Active since October 16, 2006PECOS Enrolled
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310(910) 907-8922 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, May 8, 2024 (2 updates tracked since 2024).

About Dr. Jack Ryan Brandau D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK RYAN BRANDAU D.O. (NPI 1114007226) is an individual surgery provider in Fort Bragg, North Carolina, licensed in North Carolina (2025-02975) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2006).

NPPES Registry Identity

NPI1114007226
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JACK RYAN BRANDAUCredential: D.O.
Location Address2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTERFort Bragg, NC 28310-2111
Mailing Address2817 Rock Merritt Ave Womack Army Medical CenterFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069
Phone(910) 907-8922
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2006
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1114007226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2025-02975✔ Licensed in VA · 0116018906✔ Licensed in CA · 20A18790
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, Fort Bragg, NC 28310
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Secondary Practice Locations 2

Location 11841 Quiet CvFayetteville, NC 28304-3985 · Phone (910) 323-2626 · Fax (910) 484-7962
Location 21638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 323-2626 · Fax (910) 484-7962

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Ryan Brandau D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779729314
PECOS Enrollment IDI20260612001324
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SEKEYA EDREEKIA DURGAN NP
Nurse Practitioner (Family)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
MR. EDWARD BAIK LCSW
Social Worker (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
DR. SARAH ELIZABETH CONDON MD
General Practice
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
HANNAH JOAN MORRIS DMD
Dentist (General Practice)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (109) 078-9229
DR. ADRIENNE ELISE COURSEY DO
Family Medicine
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
DR. GLEN STUART FISHER PSY.D.
Psychologist (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
MS. KERRY ANNE BRENNAN WATHEN JD LCSW
Social Worker (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
DR. TIMOTHY D MOHR PHD
Psychologist (Clinical)
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Brandau's NPI number?

The NPI number for Jack Brandau is 1114007226. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Jack Brandau located?

Jack Brandau practices at 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Jack Brandau's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jack Brandau enrolled in Medicare?

Yes. Jack Brandau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Brandau was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.