OrganizationActive
Brandon C Bultsma, DPM, PC
NPI 1396232880 · Foot & Ankle Surgery Podiatrist · Charleston, SC
Provider details
- NPI number
- 1396232880
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brandon Bultsma, President(854) 444-3129
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
1565 Sam Rittenberg Blvd Ste 104
Charleston, SC 29407-4128
Phone: (854) 444-3129
Approximate (ZIP-level) locationGet directions
Mailing address
1565 Sam Rittenberg Blvd Ste 100
Charleston, SC 29407-4128
Other names (DBA / former)
- Doing business as
- Bluewater Foot and Ankle Specialists
- Doing business as
- Bluewater Wound Care Clinic
Additional practice locations (1)
- 85 Springview Ln Unit BSummerville, SC 29485-8119Phone: (854) 444-3129
Registry dates
- Enumerated
- 2018-04-19
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.