Active NPI
Tami Jo Bruggeman, MSN, APRN, FNP-BC
- Nurse Practitioner
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5019552
- Practice address
- 1730 Kernersville Medical Pkwy Ste 201
Kernersville, NC 27284-7198 - Phone
- (336) 515-7060
- Fax
- (336) 515-7069
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5019552 | NC | Primary |
Addresses
Primary practice location
1730 Kernersville Medical Pkwy Ste 201
Kernersville, NC 27284-7198
Mailing address
PO Box 935983
Atlanta, GA 31193-5983
Phone (336) 515-7060
Other practice location 1
5107 N Croatan Hwy
Kitty Hawk, NC 27949-3989
Phone (252) 255-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503002335 | NC | Practitioner - Nurse Practitioner | 0840630059 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5019552 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Surf Pediatrics and Medicine PC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| New Hanover Medical Group PA | Past | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Past | Accepting new patients |
Locations
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
1730 Kernersville Medical Pkwy
Ste 201
Kernersville, NC 27284
Phone (336) 515-7070
1730 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 515-7336
5107 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 255-5321
100 E Dune St
Nags Head, NC 27959
Phone (252) 449-5200
512 Village Rd
Ste 206
Shallotte, NC 28470
Phone (910) 721-2260
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
1551 Westbrook Plaza Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 896-1477
Interoperability endpoints
- tbruggeman161461@direct.novanthealth.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
NC
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
NC
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1841877263
-
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1649159609
-
- Rheumatology Physician
- Winston Salem, NC
- NPI 1255054409
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Charlotte, NC
- NPI 1710609961
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
-
- Hematology & Oncology Physician
- Carolina Shores, NC
- NPI 1801565684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1073376984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935983",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311935983",
"telephone_number": "336-515-7060",
"fax_number": "336-515-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 KERNERSVILLE MEDICAL PKWY STE 201",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847198",
"telephone_number": "336-515-7060",
"fax_number": "336-515-7069"
}
],
"practiceLocations": [
{
"address_1": "5107 N Croatan Hwy",
"address_purpose": "LOCATION",
"city": "Kitty Hawk",
"state": "NC",
"postal_code": "279493989",
"country_code": "US",
"telephone_number": "252-255-5321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUGGEMAN",
"first_name": "TAMI",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-02",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5019552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.