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SANTA FE FAMILY AND FUNCTIONAL MEDICINE PC
NPI 1255400040
Family Medicine in Santa Fe, NM

Active since November 07, 2006
401 BOTULPH LANE, SANTA FE, NM 87505(505) 983-8387(505) 820-2733 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2017, May 12, 2017 (2 updates tracked since 2017).

About Santa Fe Family And Functional Medicine Pc NPPES

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

SANTA FE FAMILY AND FUNCTIONAL MEDICINE PC (NPI 1255400040), doing business as Isis Medicine, is a healthcare organization registered as a family medicine in Santa Fe, New Mexico and active in the NPI registry since November 2006. The organization lists Bruce E Gollub, President, as its authorized official.

NPPES Registry Identity

NPI1255400040
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANTA FE FAMILY AND FUNCTIONAL MEDICINE PC
Location Address401 BOTULPH LANESanta Fe, NM 87505
Mailing Address401 Botulph LaneSanta Fe, NM 87505 · (505) 983-8387 · Fax (505) 820-2733
Phone(505) 983-8387
Fax(505) 820-2733
Organization SubpartNo
Authorized OfficialBruce E GollubPresident · (505) 983-8387
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 13, 20172 updates tracked since enumeration
✔ NPI 1255400040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
401 BOTULPH LANE, Santa Fe, NM 87505
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Other Names 1

Former Legal Business NameIsis Medicine

Other Identifiers 1

Medicaid49064NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Santa Fe Family And Functional Medicine PC's NPI number?

The NPI number for Santa Fe Family And Functional Medicine PC is 1255400040. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider was formerly known as Isis Medicine.

Where is Santa Fe Family And Functional Medicine PC located?

Santa Fe Family And Functional Medicine PC is located at 401 Botulph Lane, Santa Fe, NM 87505. The listed phone number is (505) 983-8387.

What is Santa Fe Family And Functional Medicine PC'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 Santa Fe Family And Functional Medicine PC was last updated on July 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.