Jack Ryan Brandau, D.O.
NPI 1114007226ActiveIndividual· Surgery· Fort Bragg, NC
Surgery (D.O.) in Fort Bragg, North Carolina, trained at Des Moines University of Osteopathic Medicine and Health Sciences (class of 2006). Enrolled in Medicare as practitioner - general surgery.
Overview
| NPI | 1114007226 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Oct 16, 2006 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 2025-02975 | NC |
| Surgery | 208600000X | 0116018906 | VA |
| Surgery | 208600000X | 20A18790 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (NC) |
|---|
Education and affiliations
| Medical school | Des Moines University of Osteopathic Medicine and Health Sciences |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | General Surgery |
Medical group
- Cape Fear Valley Health Medical Group LLCFayetteville, NC · 376 clinicians
Hospital affiliation
- Cape Fear Valley Medical CenterFayetteville, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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