Individual provider · Type 1 NPI

Brandon Bultsma, D.P.M.

Foot & Ankle Surgery Podiatrist · Charleston, SC

NPI number 1033522784 Active

Practice location

1565 Sam Rittenberg Blvd Ste 104
Charleston, SC 29407-4128

Mailing address

3558 Rookwood Pl
Johns Island, SC 29455-8183

Other practice locations

  • 43191 Dalcoma Dr Ste 105, Clinton Township, MI 48038-6308 · (865) 213-5250

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X707 (SC)
Foot & Ankle Surgery Podiatrist 213ES0103X5901002526 (MI)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1033522784

Brandon Bultsma, D.P.M.'s National Provider Identifier is 1033522784, issued on Jun 10, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Charleston, SC. The record was last updated on Feb 14, 2024.