DR. CARLETTA SARAH BULLOCK M.D.
NPI 1063653947
Family Medicine in Albuquerque, NM

Active since March 23, 2009
4300 BLAKE RD SW, ALBUQUERQUE, NM 87121(505) 243-1118(505) 903-5832 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carletta Sarah Bullock M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLETTA SARAH BULLOCK M.D. (NPI 1063653947) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (NM9316) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1063653947
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLETTA SARAH BULLOCKCredential: M.D.
Location Address4300 BLAKE RD SWAlbuquerque, NM 87121-5179
Mailing AddressPo Box 36021Albuquerque, NM 87176-6021 · (505) 265-6383
Fax(505) 903-5832
Sole ProprietorNo
Enumeration DateMarch 23, 2009
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
NPI 1063653947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · NM9316
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4300 BLAKE RD SW, Albuquerque, NM 87121

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Student Health)
4300 BLAKE RD SW
ALBUQUERQUE, NM 87121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carletta Bullock's NPI number?

The NPI number for Carletta Bullock is 1063653947. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Where is Carletta Bullock located?

Carletta Bullock practices at 4300 Blake Rd SW, Albuquerque, NM 87121. The listed phone number is (505) 243-1118.

What is Carletta Bullock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carletta Bullock was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.