Nicholas Tannenbaum

Individual Active
NPI 1013584382
Emergency Medical Services (Emergency Medicine) Physician Fort Bragg, NC

NPI 1013584382 belongs to Nicholas Tannenbaum, an emergency medical services (emergency medicine) physician with a practice location in Fort Bragg, NC. The NPI was issued on June 7, 2021, and the record was last updated in NPPES on January 30, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X 2024-01464 (NC)
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 12918 (GA)

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0004
Phone: (910) 907-8922

Local context

Active NPPES records list 1 provider with emergency medical services (emergency medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 63 in North Carolina and 3,724 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Nicholas Henry Tannenbaum
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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