Individual ProviderAlain Bruno Tagne NouemssiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1638 Owen Dr, Fayetteville, NC 28304-3424(910) 615-5610(347) 575-8663PECOS EnrollmentBased on the most recent information from CMS, provider Alain Bruno Tagne Nouemssi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1467848267Provider TypeIndividualFull NameTagne Nouemssi, Alain BrunoCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date4/8/2015Last Updated1/28/2019Contact InformationPractice LocationPractice Address1638 Owen Dr, Fayetteville, NC 28304-3424Phone(910) 615-5610Fax(910) 615-5080Mailing LocationMailing Address1184 Walton Ave Apt E6, Bronx, NY 10452-8418Phone(347) 575-8663FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense201801903North CarolinaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer