BRANDON C BULTSMA DPM PC NPI 1659952133

NPI Information

NPI: 1659952133
Provider Name: BRANDON C BULTSMA, DPM, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1565 SAM RITTENBERG BLVD STE 104
CHARLESTON, SC
ZIP 29407
Phone: (854) 444-3129
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BRANDON C BULTSMA, DPM, PC is a foot and ankle surgery podiatrist in Charleston, SC. BRANDON C BULTSMA, DPM, PC NPI is 1659952133. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1565 SAM RITTENBERG BLVD STE 104
CHARLESTON, SC
ZIP 29407-128
Phone: (854) 444-3129
Fax: (854) 444-3190

The provider's authorized official is Brandon Bultsma .
The authorized official title is Owner/president and has the following contact phone number (854) 444-3129.

The enumeration date for this NPI number is 4/16/2021 and was last updated on 2/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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