Individual provider Active NPI

Tami Jo Bruggeman, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Kernersville, NC
National Provider Identifier
1073376984
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019552 Issued in NC
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

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5019552NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Thomasville Medical Center, LLC Current Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Jan 24, 2025 Accepting new patients
NMG Health Services LLC CurrentSince Sep 22, 2025 Accepting new patients
Surf Pediatrics and Medicine PC CurrentSince Mar 12, 2024 Accepting new patients
The Presbyterian Hospital CurrentSince Jan 24, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Sep 22, 2025 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jan 24, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Jan 24, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.