DR. BRANDON BULTSMA D.P.M.
NPI 1033522784
Podiatrist - Foot & Ankle Surgery in Charleston, SC

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1565 SAM RITTENBERG BLVD STE 104, CHARLESTON, SC 29407(854) 444-3129 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Feb 25, 2019 (2 updates tracked since 2019).

About Dr. Brandon Bultsma D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON BULTSMA D.P.M. (NPI 1033522784) is an individual foot & ankle surgery provider in Charleston, South Carolina, licensed in South Carolina (707) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1033522784
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. BRANDON BULTSMACredential: D.P.M.
Location Address1565 SAM RITTENBERG BLVD STE 104Charleston, SC 29407-4128
Mailing Address3558 Rookwood PlJohns Island, SC 29455-8183 · (854) 444-3129
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateFebruary 14, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
NPI 1033522784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in SC · 707 Licensed in MI · 5901002526
1565 SAM RITTENBERG BLVD STE 104, Charleston, SC 29407

Secondary Practice Location 1

Location 143191 Dalcoma Dr Ste 105Clinton Township, MI 48038-6308 · Phone (865) 213-5250 · Fax (586) 213-5252

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon Bultsma D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123397734
PECOS Enrollment IDI20200921002466
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Puraply xt, per square centimeter Q4197
Puraply XT is a type of wound dressing used to promote healing in various types of wounds. It's made from a material that helps your body regenerate tissue. It's applied directly to the wound, measured per square centimeter to fit the wound size.
1,000 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
727 services276 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
666 services275 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
175 services175 patients
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less 11305
This is a procedure where a small skin growth on the scalp, neck, hands, or feet, measuring 0.5 cm or less, is carefully removed. The process involves shaving off the growth layer by layer to ensure complete removal. It's a safe and common practice.
159 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services60 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adolescent and Children Mental Health)
1565 SAM RITTENBERG BLVD STE 104
CHARLESTON, SC 29407
Podiatrist (Foot & Ankle Surgery)
1565 SAM RITTENBERG BLVD STE 104
CHARLESTON, SC 29407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Bultsma's NPI number?

The NPI number for Brandon Bultsma is 1033522784. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Brandon Bultsma located?

Brandon Bultsma practices at 1565 Sam Rittenberg Blvd Ste 104, Charleston, SC 29407. The listed phone number is (854) 444-3129.

What is Brandon Bultsma's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brandon Bultsma enrolled in Medicare?

Yes. Brandon Bultsma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandon Bultsma accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Brandon Bultsma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandon Bultsma affiliated with any hospitals?

According to CMS data, Brandon Bultsma is affiliated with Bon Secours-St Francis Xavier Hospital and Roper Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Bultsma was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.