Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS HENRY TANNENBAUM
Active Sole ProprietorNICHOLAS HENRY TANNENBAUM is a Emergency Medical Services healthcare provider located in FORT BRAGG, North Carolina. NPI 1013584382 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · FORT BRAGG, NC
Registration Details
- NPI Number
- 1013584382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2021 (5.2104225661998 yrs)
- Last Updated
- Jan 30, 2026
- Licenses
-
12918 (GA)2024-01464 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 ROCK MERRITT AVEFORT BRAGG, NC, 283100004Browse NC providers · Browse ZIP 28310
- Phone
- 9109078922
- Fax
- 9109076069
- Primary Specialty
-
Emergency Medical Services
207PE0004X
- Additional Specialty
- Emergency Medical Services
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.