Individual provider Active NPI

Samantha Bredenkamp, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Dunn, NC
National Provider Identifier
1174351480
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024620 Issued in NC
Practice address
2100 W Cumberland St
Dunn, NC 28334-4446
Phone
(336) 936-5509
NPI assigned
Jul 26, 2024
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5024620 NC Primary
Registered Nurse 163W00000X 384325 NC

Addresses

Primary practice location

2100 W Cumberland St
Dunn, NC 28334-4446

Mailing address

2100 W Cumberland St
Dunn, NC 28334-4446
Phone (336) 936-5509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241010002490 FL Practitioner - Nurse Practitioner 4880126242 Reassigns benefits to 1 organization
I20260623001200 NC Practitioner - Nurse Practitioner 4880126242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1298 N Main St
Fuquay Varina, NC 27526-2615

510 Thornall St
Suite 100
Edison, NJ 08837-2204

740 Rhum Dr
Fayetteville, NC 28311-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
384325NCMDRegistered Nurse
5024620NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce L Boros MD PA CurrentSince Sep 1, 2024 Accepting new patients
Bruce L Boros MD PA Current Accepting new patients
Bruce L Boros MD PA CurrentSince Sep 1, 2024 Accepting new patients

Locations

100460 Overseas Hwy
Ste 4
Key Largo, FL 33037
Phone (305) 453-3337

1980 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 294-0011

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1174351480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344446",
            "telephone_number": "336-936-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344446",
            "telephone_number": "336-936-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDENKAMP",
        "first_name": "SAMANTHA",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024620",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "384325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.