Dr. Brandon Bultsma
Foot & Ankle Surgery
1565 Sam Rittenberg Blvd Ste 104
Charleston
, South Carolina 29407-4128
Dr. Brandon Bultsma
Foot & Ankle Surgery
1565 Sam Rittenberg Blvd Ste 104
Charleston
, South Carolina 29407-4128
(854) 444-3129
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Brandon Bultsma
- 3558 Rookwood Pl
- Johns Island, SC
- Zip : 29455-8183
- Phone : (854) 444-3129
Second Address
- Dr. Brandon Bultsma
- 1565 Sam Rittenberg Blvd Ste 104
- Charleston, SC
- Zip : 29407-4128
- Phone : (854) 444-3129
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213ES0103X | Foot & Ankle Surgery | 5901002526 | MI |
| Y | 213ES0103X | Foot & Ankle Surgery | 707 | SC |
National Provider Identifier
| NPI | 1033522784 |
|---|---|
| Provider Name | Dr. Brandon Bultsma |
| First Address | Johns Island, SC 29455-8183 |
| Second Address | Charleston, SC 29407-4128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2014 |
| Last Update Date | 03/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.