DR. JACK RYAN BRANDAU


Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone: 7579535000

DR. JACK RYAN BRANDAU (NPI# 1114007226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114007226
Entity Type Individual
Full Name DR. JACK RYAN BRANDAU
Credential D.O.
Practice Address 620 John Paul Jones Cir
Portsmouth
VA 23708-2111
Mailing Address 424 Queen St
Portsmouth
VA 23704-3620
Practice Telephone 7579535000
Mailing Telephone 7573283366
Enumeration Date 2006-10-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 0116018906 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 620 JOHN PAUL JONES CIR
City PORTSMOUTH
State VA
Zip Code 23708-2111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427054840 Debra Tooke Crowell Registered Nurse 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2005-06-21
1659970424 Jennifer T Birchwale Student in an Organized Health Care Education/Training Program 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-22
1861091985 Carin Kimberly Teeters Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-20
1275130825 Dartangion Pierre Walker Dental Hygienist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-10-07
1750996054 Kevin Wilfong Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-14
1598379901 Paula Shepard Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-02
1578177234 Rebekah Gunter Psychologist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-09-01
1225641863 Dylan Quoc-chuong Vu Dentist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-08-24
1467060111 Ili Yuan Dentist 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-07-20
1750909172 Marsades Ceasar Social Worker 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724754 William Dowling Student in an Organized Health Care Education/Training Program 260 John Paul Jones Circle, Fpo, AA 23708 2020-06-09
1760003156 Kylie Miller Student in an Organized Health Care Education/Training Program 600 John Paul Jones Circle, Portsmouth, VA 23708 2020-04-27
1750900304 Jonathan David Hickman Student in an Organized Health Care Education/Training Program Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 2020-04-14
1447716550 Nathan Le Holterman Student in an Organized Health Care Education/Training Program Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 2019-02-13
1467930545 Jonathan Volland Dentist Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 2018-08-01
1629570171 Brendan James O'shea Student in an Organized Health Care Education/Training Program 690 John Paul Jones Circle, Fpo, AA 23708 2018-03-01
1467909077 Patricia Hicks Smith Nurse Practitioner 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-09-01
1790139392 Lauren Pitters Student in an Organized Health Care Education/Training Program 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-04-20
1841683745 Karrie Anne Brondell Walker Student in an Organized Health Care Education/Training Program 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2015-03-17
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
Find all providers in zip 23708

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811308257 Samuel L Douglas Surgery 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111 2014-05-19
1356778419 Kevin Thomas Petersen Surgery 620 John Paul Jones Cir Dept General, Portsmouth, VA 23708-2197 2013-10-03
1457618183 Lauren Thompson Surgery 155 Borthwick Ave Ste 301e, Portsmouth, NH 03801-7156 2012-04-19
1457642340 Arthur T Johnson Iv Surgery 4633 Mallard Cres, Portsmouth, VA 23703-2240 2011-04-26
1447319348 Henry Emerson Butler IIi Surgery 533 Elizabeth Pl, Portsmouth, VA 23704-2408 2006-12-06
1215940481 Reymond Guzman Pascual Surgery 704 London Blvd., Portsmouth, VA 23704 2006-08-15
1033142021 Joseph J Lach Surgery 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-0000 2006-07-10
1942299565 Jeffery E Parker Surgery 1711 27th St Ste 402, Portsmouth, OH 45662-2669 2005-10-17
1306838719 Thomas L Khoury Surgery 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638 2005-08-22
1336147719 Jeffrey Lynn Riblet Surgery 3640 High St, Suite 2f, Portsmouth, VA 23707-3213 2005-07-11
Find all providers in PORTSMOUTH

Competitor

Search similar providers

City PORTSMOUTH
Zip Code 23708

Improve Information

Please comment or provide details below to improve the information on DR. JACK RYAN BRANDAU.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches