Jack Ryan Brandau is a Surgery in Portsmouth, Virginia. Jack Ryan Brandau practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jack Ryan Brandau is 1114007226. The last update date is 2007-07-08.
Jack Ryan Brandau's current location address is 620 John Paul Jones Cir, Portsmouth, Virginia. You can contact this provider via phone number 7579535000. The mailing address for Jack Ryan Brandau is 620 John Paul Jones Cir, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Ryan Brandau |
|---|---|
| Address | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Phone Number | 7579535000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1114007226 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 620 John Paul Jones Cir |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237082111 |
| Phone Number | 7579535000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 116018906 |
|
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; |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Ryan Brandau by the Centers for Medicare & Medicaid Services?
The Jack Ryan Brandau has been issued the NPI (National Provider Identifier) 1114007226 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jack Ryan Brandau is physically located?
The Jack Ryan Brandau is physically situated at the following address: 620 John Paul Jones Cir, Portsmouth, VA, 237082111.
What is Jack Ryan Brandau's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Ryan Brandau is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114007226 to Jack Ryan Brandau?
The Jack Ryan Brandau received its 1114007226 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.
When was the information regarding Jack Ryan Brandau most recently updated?
The details pertaining to the Jack Ryan Brandau, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.