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DR. SELAM BULLOCK MD
NPI 1922194000
Pediatrics in Clayton, NC

Active since October 05, 2006
400 ATHLETIC CLUB BLVD UNIT 101, CLAYTON, NC 27527(919) 267-1499 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Selam Bullock Md NPPES

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

DR. SELAM BULLOCK MD (NPI 1922194000) is an individual pediatrics provider in Clayton, North Carolina, licensed in North Carolina (200201084) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1922194000
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SELAM BULLOCKCredential: MD
Location Address400 ATHLETIC CLUB BLVD UNIT 101Clayton, NC 27527-6558
Mailing Address4109 Wake Forest Rd Ste 300Raleigh, NC 27609-2508 · (919) 250-3478 · Fax (919) 250-6272
Phone(919) 267-1499
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1922194000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 200201084
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

400 ATHLETIC CLUB BLVD UNIT 101, Clayton, NC 27527
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Other Identifiers 1

Medicaid5905271NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Frequently Asked Questions

What is Selam Bullock's NPI number?

The NPI number assigned to this healthcare provider is 1922194000, enumerated as an "individual" on October 05, 2006.

Where is the provider located?

The provider is located at 400 ATHLETIC CLUB BLVD UNIT 101 CLAYTON, NC 27527 and the phone number is (919) 267-1499.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.

What insurance does Selam Bullock accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.