Dominique Bultsma MD PC
NPI 1336932870ActiveOrganization· Internal Medicine· Charleston, SC
Internal Medicine in Charleston, South Carolina, registered in NPPES in May 2025. The authorized official on file is Dominique Bultsma, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336932870 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2025 |
| Last updated in NPPES | Jun 26, 2026 |
| Certified by provider | Jun 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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