Brandon Bultsma, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

707 Issued in SC

Practice address

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

Phone

(854) 444-3129

NPI assigned

Jun 10, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Roper Hospital Hospital, Charleston, SC, CCN 420087

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bbultsma290508@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brandon C Bultsma, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Charleston, SC
  • NPI 1396232880
  Medicare reassignment Authorized official
• Dominique Bultsma MD PC

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1336932870
  NPD (past)
• DRS Ketai P C

  • Podiatrist
  • Farmington Hills, MI
  • NPI 1295870582
  NPD (past)
• Romeo Foot Clinic, PC

  • Foot & Ankle Surgery Podiatrist
  • Washington, MI
  • NPI 1639195696
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bon Secours St. Francis Xavier Hospital Inc.

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1033522784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 ROOKWOOD PL",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558183",
            "telephone_number": "854-444-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAM RITTENBERG BLVD STE 104",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074128",
            "telephone_number": "854-444-3129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43191 Dalcoma Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386308",
            "country_code": "US",
            "telephone_number": "865-213-5250",
            "fax_number": "586-213-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULTSMA",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "707",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Building Blocks Family Chiropractic. LLC
• Kendra Latoya Buist
• Jessica Bujak
• Gale Bullock, RN
• Laura Bulmer, MS, CGC
• James L. Bumgartner, M.D.
• Brian Bumpous, MD
• Kaylee Elizabeth Bumpus, DPT
• Heather Bunch
• Janna Buncher, LMT

• Foot & Ankle Surgery Podiatrist in Charleston, SC
• Providers in Charleston, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.