Sum of 'the first k' binomial coefficients for fixed n
I'm going to give two families of bounds, one for when $k = N/2 + \alpha \sqrt{N}$ and one for when $k$ is fixed.
The sequence of binomial coefficients ${N \choose 0}, {N \choose 1}, \ldots, {N \choose N}$ is symmetric. So you have
$\sum_{i=0}^{(N-1)/2} {N \choose i} = {2^N \over 2} = 2^{N-1}$
when $N$ is odd.
(When $N$ is even something similar is true
but you have to correct for whether you include the term ${N \choose N/2}$ or not.
Also, let $f(N,k) = \sum_{i=0}^k {N \choose i}$.
Then you'll have, for real constant $\alpha$,
$ \lim_{N \to \infty} {f(N,\lfloor N/2+\alpha \sqrt{N} \rfloor) \over 2^N} = g(\alpha) $
for some function $g$. This is essentially a rewriting of a special case of the central limit theorem. The Hamming weight of a word chosen uniformly at random is a sum of Bernoulli(1/2) random variables.
For fixed $k$ and $N \to \infty$, note that $$ {{N \choose k} + {N \choose k-1} + {N \choose k-2}+\dots \over {N \choose k}} = {1 + {k \over N-k+1} + {k(k-1) \over (N-k+1)(N-k+2)} + \cdots} $$ and we can bound the right side from above by the geometric series $$ {1 + {k \over N-k+1} + \left( {k \over N-k+1} \right)^2 + \cdots} $$ which equals ${N-(k-1) \over N - (2k-1)}$. Therefore we have $$ f(N,k) \le {N \choose k} {N-(k-1) \over N-(2k-1)}.$$
Jean Gallier gives this bound (Proposition 4.16 in Ch.4 of "Discrete Math" preprint)
$$f(n,k) < 2^{n-1} \frac{{n \choose k+1}}{n \choose n/2}$$
where $f(N,k)=\sum_{i=0}^k {N\choose i}$, and $k\le n/2-1$ for even $n$
It seems to be worse than Michael's bound except for large values of k
Here's a plot of f(50,k) (blue circles), Michael Lugo's bound (brown diamonds) and Gallier's (magenta squares)
(source)
n = 50; bisum[k_] := Total[Table[Binomial[n, x], {x, 0, k}]]; bibound[k_] := Binomial[n, k + 1]/Binomial[n, n/2] 2^(n - 1); lugobound[k_] := Binomial[n, k] (n - (k - 1))/(n - (2 k - 1)); ListPlot[Transpose[{bisum[#], bibound[#], lugobound[#]} & /@ Range[0, n/2 - 1]], PlotRange -> All, PlotMarkers -> Automatic]
Edit The proof, Proposition 3.8.2 from Lovasz "Discrete Math".
Lovasz gives another bound (Theorem 5.3.2) in terms of exponential which seems fairly close to previous one
$$f(n,k)\le 2^{n-1} \exp (\frac{(n-2k-2)^2}{4(1+k-n)}$$ Lovasz bound is the top one.
(source)
n = 50; gallier[k_] := Binomial[n, k + 1]/Binomial[n, n/2] 2^(n - 1); lovasz[k_] := 2^(n - 1) Exp[(n - 2 k - 2)^2/(4 (1 + k - n))]; ListPlot[Transpose[{gallier[#], lovasz[#]} & /@ Range[0, n/2 - 1]], PlotRange -> All, PlotMarkers -> Automatic]
One standard estimate when the sum includes about half of the terms is the Chernoff bound, one form of which gives
$$\sum_{k=0}^{(N-a)/2} {N\choose k} \le 2^N \exp\bigg(\frac{-a^2}{2N}\bigg)$$
This isn't so sharp. It's weaker than the geometric series bound Michael Lugo gave. However, the simpler form can be useful.