Dominique Bultsma MD PC
NPI 1336932870 · Internal Medicine Physician · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominique Bultsma MD PC is a Internal Medicine Physician organization in Charleston, SC (NPI 1336932870).
Provider details
- NPI number
- 1336932870
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominique Bultsma, Owner(843) 412-9012
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3293 Ladson RdLadson, SC 29456-3903Phone: (843) 412-9012
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Dominique Bultsma MD PC's NPI number?
- Dominique Bultsma MD PC's National Provider Identifier (NPI) is 1336932870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dominique Bultsma MD PC?
- Dominique Bultsma MD PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dominique Bultsma MD PC located?
- Dominique Bultsma MD PC's practice location on file with NPPES is 1565 Sam Rittenberg Blvd, Charleston, SC 29407-4138.
- What is Dominique Bultsma MD PC's phone number?
- The practice phone number listed in the NPPES registry for Dominique Bultsma MD PC is (843) 642-0074.
- Does Dominique Bultsma MD PC accept Medicare?
- Dominique Bultsma MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dominique Bultsma MD PC?
- The authorized official listed on Dominique Bultsma MD PC's NPPES record is Dominique Bultsma, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dominique Bultsma MD PC's NPI active?
- Yes — Dominique Bultsma MD PC's NPI (1336932870) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.