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

Nicholas Henry Tannenbaum

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1013584382

Nicholas Henry Tannenbaum is an Emergency Medicine in Fort Bragg, North Carolina. Qualified in 2021, 5 years ago. Practices with Emergency Coverage LLC, a 771-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
5
Licensed in
GA, NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0004
Phone: (910) 907-8922
Fax: (910) 907-6069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 2024-01464 (NC)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 12918 (GA)

Record details

NPI number1013584382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2021
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Emergency Coverage Llc — 771 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Bragg