EXCLUDEDPROVIDER
Individual Revocation

Charles K Bultman

Sumter, SC 29150

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Charles K Bultman of Sumter, SC is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of April 16, 1991.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Sumter, SC 29150
Exclusion date
April 16, 1991
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Charles K Bultman appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Sumter, South Carolina. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is April 16, 1991, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateApril 16, 1991
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPINB92084
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Sumter, SC 29150. The listed provider category is Medical Practice, MD. The listed specialty is General Practice / FP.

Other excluded providers in Sumter, SC

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Sumter, SC address.

Sonya Denise Bradley Individual Fraud
Sumter, SC · Conviction relating to fraud · Excluded Jan 2025
Karen A Tiller Individual Program Crime
Sumter, SC · Conviction of program-related crimes · Excluded Nov 2022
Keisha Robinson Individual Program Crime
Sumter, SC · Conviction of program-related crimes · Excluded Jun 2021
Ann Davis Eldridge Individual Program Crime
Sumter, SC · Conviction of program-related crimes · Excluded May 2020
Kimberly M Johnson Individual Fraud
Sumter, SC · Conviction relating to fraud · Excluded Dec 2019
Tela Sada Franklin Individual Revocation
Sumter, SC · License revocation, suspension, or surrender · Excluded Sep 2018
Rose Marie Smalls Individual Program Crime
Sumter, SC · Conviction of program-related crimes · Excluded Jun 2013
Christopher Alderman Individual Program Crime
Sumter, SC · Conviction of program-related crimes · Excluded Feb 2010

See all 17 excluded providers in Sumter →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

More Excluded Individuals in South Carolina More Records in Sumter More Revocation Records