Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Austin T Tannenbaum, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881262913

Dr. Austin T Tannenbaum, MD is a Student in an Organized Health Care Education/Training Program in Fort Bragg, North Carolina. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-5741
Phone: (910) 907-8922
Fax: (910) 907-6069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 93471 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881262913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

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