BRANDON C BULTSMA, DPM, PC (NPI# 1396232880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396232880 |
| Entity Type | Organization |
| Organization Name | BRANDON C BULTSMA, DPM, PC |
| Other Organization Name | THE FOOT AND ANKLE INSTITUTE OF SOUTHEAST MICHIGAN |
| Practice Address |
43191 Dalcoma Dr Ste 105 Clinton Township MI 48038-6308 |
| Practice Telephone | 2313922820 |
| Mailing Telephone | 2313922820 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-09-26 |
| Authorized Official Name | BRANDON BULTSMA (PRESIDENT) |
| Authorized Official Telephone | 2313922820 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002526 | MI | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| The Foot and Ankle Institute of Southeast Michigan | Doing Business As Name - Organization |
| Street Address |
43191 DALCOMA DR STE 105 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033522784 | Brandon Bultsma | Podiatrist | 43191 Dalcoma Dr Ste 105, Clinton Township, MI 48038-6308 | 2014-06-10 |
| 1679197438 | Podiatry Institute of Michigan Plc | Podiatrist | 43191 Dalcoma Dr Ste 105, Clinton Township, MI 48038-6308 | 2020-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033522784 | Brandon Bultsma | Podiatrist | 43191 Dalcoma Dr Ste 105, Clinton Township, MI 48038-6308 | 2014-06-10 |
| 1033557384 | Kristen Lynne Patterson | Podiatrist | 42550 Garfield Rd Ste 103, Clinton Township, MI 48038 | 2013-06-10 |
| 1063520997 | Joseph Mccarthy | Podiatrist | 43617 Hillsboro Dr, Clinton Township, MI 48038-1341 | 2006-08-29 |
| 1184629180 | Brian George Loder | Podiatrist | 43391 Commons Dr, Clinton Township, MI 48038-1109 | 2005-06-16 |
| 1679197438 | Podiatry Institute of Michigan Plc | Podiatrist | 43191 Dalcoma Dr Ste 105, Clinton Township, MI 48038-6308 | 2020-06-07 |
| 1194259747 | Jason Weslosky | Podiatrist | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-04-19 |
| 1801259551 | Cody Andrew Brush | Podiatrist | 15855 19 Mile Rd, Henry Ford Macomb Hospitals, Clinton Township, MI 48038-3504 | 2016-03-31 |
| 1669764304 | Mission Podiatry Pllc | Podiatrist | 39090 Garfield Rd Ste 108, Clinton Township, MI 48038-4093 | 2011-05-13 |
| 1205065489 | Ryan Michael Murphy | Podiatrist | 42550 Garfield Rd, Suite 103, Clinton Township, MI 48038-1644 | 2009-07-08 |
| 1013156272 | Mission Podiatry Pllc | Podiatrist | 39090 Garfield Rd Ste 108, Clinton Township, MI 48038-4093 | 2009-02-11 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on BRANDON C BULTSMA, DPM, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.