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

Dominique Samarane Bultsma, MD

Individual provider Internal Medicine Physician · NPI 1033733704

Dominique Samarane Bultsma, MD is an Internal Medicine in Johns Island, South Carolina. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
SC
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

345 Freshfields Dr Ste J101
Johns Island, SC 29455-5443
Phone: (843) 768-4800
Fax: (843) 606-8039
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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 · Licence 90584 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL84222 (SC)

Record details

NPI number1033733704
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2020
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Johns Island