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Contact Information

BRANDON BULTSMA, DPM
1565 SAM RITTENBERG BLVD STE 104
CHARLESTON, SC29407-4128
 Phone: 854-444-3129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRANDON BULTSMA · (Male)

NPI # 1033522784
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/10/2014
Last updated 02/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901002526
  • SC License # 707
Hospital affiliation(s)
  • BON SECOURS-ST FRANCIS XAVIER HOSPITAL - (Acute Care)
    2095 HENRY TECKLENBURG DRIVE
    CHARLESTON, SC 29414
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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