Ryan J Brang, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57124-20 Issued in WI

Practice address

1001 Main St W
Ashland, WI 54806-1366

Phone

(715) 682-5601

Fax

(715) 682-6878

NPI assigned

May 27, 2009

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 29, 2022 through Aug 29, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northcountry Health of Marquette, PC

  dba NorthCountry Health DPC

  • Family Medicine Physician
  • Marquette, MI
  • NPI 1497483440
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154556611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7510",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061366",
            "telephone_number": "715-682-5601",
            "fax_number": "715-682-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANG",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "57124-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "57124-20",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154556611",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Scott Bludorn, DO
• Anthony Oliver Bondioli, R.N.
• Jennifer L Bourgard, SAC
• Alexis Bowe, MSW
• John Michael Boyle, M.D.
• Karla M. Braski, LCSW
• James Robert Bratley
• Shawn Douglas Brede, CRNA
• Marsha Ann Breeser
• Brittani Jean Brennan, DPT

• Family Medicine Physician in Ashland, WI
• Providers in Ashland, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.