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NICHOLAS HENRY TANNENBAUM
NPI 1013584382
Emergency Medicine - Emergency Medical Services in Fort Bragg, NC

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2026, Jun 20, 2025, Jun 29, 2024 and 1 more (4 updates tracked since 2021).

About Nicholas Henry Tannenbaum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS HENRY TANNENBAUM (NPI 1013584382) is an individual emergency medical services provider in Fort Bragg, North Carolina, licensed in North Carolina (2024-01464) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013584382
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameNICHOLAS HENRY TANNENBAUM
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0004
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone(910) 907-8922
Fax(910) 907-6069
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 7, 2021
Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1013584382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Licenses✔ Licensed in NC · 2024-01464✔ Licensed in GA · 12918
Definition

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.

2817 ROCK MERRITT AVE, Fort Bragg, NC 28310
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Other Names 1

Other Name (5)Nicholas Tannerbaum

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Henry Tannenbaum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749683324
PECOS Enrollment IDI20241119001528
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340020
Location1135 Carthage StSanford, NC 27330 · Lee County
Emergency services Birthing friendly

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340188
Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH CLAIR
Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
ERIN FOLEY PT, DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8709
MICHAEL ANDREW SLACK DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (224) 715-1689
MRS. COLLEEN MARGARET REMINSKY LAT, ATC
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 908-9663
ROBERT AUSTIN JONES PA-C
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
JUSTINA JEAN AHN DMD
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JOSEPH PAUL BRITVEN
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7698

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Tannenbaum's NPI number?

The NPI number for Nicholas Tannenbaum is 1013584382. It was assigned to this individual provider in the NPPES registry on June 7, 2021. The provider is also known as Nicholas Tannerbaum.

Where is Nicholas Tannenbaum located?

Nicholas Tannenbaum practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Nicholas Tannenbaum's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Nicholas Tannenbaum enrolled in Medicare?

Yes. Nicholas Tannenbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicholas Tannenbaum affiliated with any hospitals?

According to CMS data, Nicholas Tannenbaum is affiliated with Central Carolina Hospital and Cape Fear Valley Hoke Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Tannenbaum was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.