Organization · Type 2 NPI

Brandon C Bultsma, Dpm, PC

Foot & Ankle Surgery Podiatrist · Charleston, SC

NPI number 1396232880 Active

Practice location

2142 Executive Hall Rd
Charleston, SC 29407-8713

Call (854) 444-3129 Map

Other practice locations

3293 Ladson Rd, Ladson, SC 29456-3903 · (854) 444-3129

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

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

Another provider at this address

Dominique Bultsma MD PCInternal Medicine Physician Charleston, SC NPI 1336932870

Other foot & ankle surgery podiatrist providers in Charleston

See all in Charleston →

NPI record

NPI: 1396232880
Entity type: Organization (Type 2)
Issued: Apr 19, 2018
Last updated: Jun 22, 2026
Status: Active

Other names

<unavail>
Bluewater Foot and Ankle Specialists · doing business as
Bluewater Wound Care Clinic · doing business as

Authorized official

Brandon Bultsma, DPM
President
(854) 444-3129

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396232880

Brandon C Bultsma, Dpm, PC's National Provider Identifier is 1396232880, issued on Apr 19, 2018. 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 Jun 22, 2026.