Doctor profile · Federal record
Dr. Nicholas Tannenbaum
Emergency Medical Services (Emergency Medicine) Physician (CMS: Emergency Medicine) · Emergency Medical Services (Emergency Medicine) Physician · Fort Bragg, NC
- NPI 1013584382
- Accepts Medicare
- 5 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2817 Rock Merritt Ave
Fort Bragg, NC 283100004
(910) 907-8922
fax (910) 907-6069
Credentials & registration
- NPI registered
- June 2021 — 5 yrs on file
- Profile last updated
- January 30, 2026
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207PE0004X — NUCC code
- State licenses (2)
- North Carolina #2024-01464 · Georgia #12918
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013584382. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$9
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BTG International, Inc. | 1 | $9.32 |
By nature of payment
Frequently asked questions
What is Dr. Nicholas Tannenbaum's medical specialty?
Dr. Nicholas Tannenbaum practices Emergency Medical Services (Emergency Medicine) Physician in Fort Bragg, NC.
Where does Dr. Nicholas Tannenbaum practice?
Dr. Nicholas Tannenbaum practices at 2817 Rock Merritt Ave, Fort Bragg, NC 283100004. Office phone: 9109078922.
What is Dr. Nicholas Tannenbaum's NPI?
Dr. Nicholas Tannenbaum's National Provider Identifier (NPI) is 1013584382, issued by NPPES.
Does Dr. Nicholas Tannenbaum accept Medicare assignment?
Yes. Dr. Nicholas Tannenbaum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.