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BRANDON C BULTSMA, DPM, PC
NPI 1396232880
Podiatrist - Foot & Ankle Surgery in Charleston, SC

Active since April 19, 2018
2142 EXECUTIVE HALL RD, CHARLESTON, SC 29407(854) 444-3129 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2024, Apr 14, 2021, Dec 3, 2020 and 2 more (5 updates tracked since 2018).

About Brandon C Bultsma, Dpm, Pc NPPES

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

BRANDON C BULTSMA, DPM, PC (NPI 1396232880), doing business as Bluewater Foot And Ankle Specialists, is a healthcare organization registered as a foot & ankle surgery in Charleston, South Carolina and active in the NPI registry since April 2018. The organization maintains a secondary practice location in Ladson and lists Brandon Bultsma, President, as its authorized official.

NPPES Registry Identity

NPI1396232880
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBRANDON C BULTSMA, DPM, PC
Location Address2142 EXECUTIVE HALL RDCharleston, SC 29407-8713
Mailing Address2142 Executive Hall RdCharleston, SC 29407-8713 · (854) 444-3129
Phone(854) 444-3129
Organization SubpartNo
Authorized OfficialBrandon BultsmaPresident · (854) 444-3129
Enumeration DateApril 19, 2018
Last NPPES UpdateJune 22, 20265 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1396232880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedInternal MedicineTaxonomy 207R00000X
2142 EXECUTIVE HALL RD, Charleston, SC 29407
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Other Names 2

Doing Business AsBluewater Foot And Ankle Specialists
Doing Business AsBluewater Wound Care Clinic

Secondary Practice Location 1

Location 13293 Ladson RdLadson, SC 29456-3903 · Phone (854) 444-3129

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon C Bultsma, Dpm, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brandon C Bultsma, DPM, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brandon Bultsma, D.P.M.
Podiatry
NPI 1033522784
1565 SAM RITTENBERG BLVD STE 104
Charleston, SC 29407
(854) 444-3129
✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 C Bultsma, Dpm, PC's NPI number?

The NPI number for Brandon C Bultsma, Dpm, PC is 1396232880. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Bluewater Foot and Ankle Specialists and Bluewater Wound Care Clinic.

Where is Brandon C Bultsma, Dpm, PC located?

Brandon C Bultsma, Dpm, PC is located at 2142 Executive Hall Rd, Charleston, SC 29407. The listed phone number is (854) 444-3129.

What is Brandon C Bultsma, Dpm, PC's specialty?

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

Is Brandon C Bultsma, Dpm, PC enrolled in Medicare?

Yes. Brandon C Bultsma, Dpm, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brandon C Bultsma, Dpm, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Brandon C Bultsma, Dpm, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brandon C Bultsma, Dpm, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Brandon C Bultsma, Dpm, PC 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.

When was this NPI record last updated?

The NPPES record for Brandon C Bultsma, Dpm, PC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.