Alan L Tannenbaum MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALAN L TANNENBAUM MD PA

Doing business as

Primary Care Assoc

Practice address

523 Cape Coral Pkwy E
Primary Care Assoc
Cape Coral, FL 33904-8545

Phone

(239) 549-2772

Fax

(239) 549-2332

NPI assigned

Jan 13, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan L Tannenbaum, MDNPI 1235117342

Title

Owner/Primary Officer

Phone

(239) 549-2772

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Primary Care Assoc Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Alan L Tannenbaum MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vandan Taparia

  • Physical Therapist
  • Cape Coral, FL
  • NPI 1841656501
  NPD tax ID

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan L Tannenbaum, MD

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1235117342
  Medicare reassignment NPD Authorized official
• Joel C Armas, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1700112208
  Medicare reassignment NPD
• Aaron D Bilovecky, M.A, CCC-A

  • Audiologist
  • Fort Myers, FL
  • NPI 1598914715
  Medicare reassignment NPD
• Barry Butler, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1770581449

  Family Medicine

  Medicare reassignment NPD
• Robert Walter Heiser, MD

  • Gastroenterology Physician
  • Fort Myers, FL
  • NPI 1720088982
  Medicare reassignment NPD
• Robert Allen Hull, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1811930779
  Medicare reassignment NPD
• William Michael Johnson, M.D.

  • General Practice Physician
  • Cape Coral, FL
  • NPI 1508851171
  Medicare reassignment NPD
• Debra K Roggow, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Fort Myers, FL
  • NPI 1447245451
  Medicare reassignment NPD
• Mark Genco, DO

  • Family Medicine Physician
  • Amherst, NY
  • NPI 1285980110

  FL, Multi-Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1902885270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 CAPE CORAL PKWY E",
            "address_2": "PRIMARY CARE ASSOC",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048545",
            "telephone_number": "239-549-2772",
            "fax_number": "239-549-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 CAPE CORAL PKWY E",
            "address_2": "PRIMARY CARE ASSOC",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048545",
            "telephone_number": "239-549-2772",
            "fax_number": "239-549-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L TANNENBAUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRIMARY OFFICER",
        "authorized_official_telephone_number": "239-549-2772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "38626",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.