Brandon C Bultsma, DPM, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BRANDON C BULTSMA, DPM, PC

Practice address

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

Phone

(854) 444-3129

Fax

(854) 444-3190

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Brandon Bultsma, DPM

Title

Owner/President

Phone

(854) 444-3129

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1659952133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SAM RITTENBERG BLVD STE 104",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074128",
            "telephone_number": "854-444-3129",
            "fax_number": "854-444-3190"
        },
        {
            "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",
            "fax_number": "854-444-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Springview Ln Unit B",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858119",
            "country_code": "US",
            "telephone_number": "854-444-3129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANDON C BULTSMA, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "BULTSMA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "854-444-3129",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily E Brame
• Elizabeth Brand, CNM
• Courtney Lynne Brandenburg, DC
• Benjamin Philip Brandes, MD
• Brandon C Bultsma, DPM, PC
• Scott Brandon, MD
• Frank Daniel Brannen
• Khaleila Brannon, DDS
• Adam S Branoff, M.D.
• Branstiter Anesthesia Services, LLC

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.