IndividualActive
Nicholas Tannenbaum
NPI 1013584382 · Emergency Medical Services (Emergency Medicine) Physician · Fort Bragg, NC
Provider details
- NPI number
- 1013584382
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12918 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0004
Phone: (910) 907-8922
Fax: (910) 907-6069
Approximate (ZIP-level) locationGet directions
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Registry dates
- Enumerated
- 2021-06-07
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.