Individual provider · Type 1 NPI

Nicholas Henry Tannenbaum

Emergency Medical Services (Emergency Medicine) Physician · Fort Bragg, NC

NPI number 1013584382 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0004

Call (910) 907-8922 Map

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X12918 (GA)
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X2024-01464 (NC)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

834 other providers at this address

About NPI 1013584382

Nicholas Henry Tannenbaum's National Provider Identifier is 1013584382, issued on Jun 7, 2021. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Fort Bragg, NC. The record was last updated on Jan 30, 2026.