Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Bultsma MD PC

Organization Internal Medicine Physician · NPI 1336932870

Dominique Bultsma MD PC is an Internal Medicine Physician in Charleston, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2142 Executive Hall Rd
Charleston, SC 29407-8713
Phone: (843) 729-6316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1336932870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Bultsma — Owner · (843) 412-9012
NPI enumeratedMay 27, 2025
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address2142 Executive Hall Rd, Charleston, SC 29407-8713

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