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Contact Information

BRANDON C BULTSMA, DPM, PC
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
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRANDON C BULTSMA, DPM, PC

NPI Number 1396232880
LBN Legal business name BRANDON C BULTSMA, DPM, PC
Authorized official BRANDON BULTSMA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2018
Last updated 05/09/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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