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: August 23, 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
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

Other Identifiers 1

Medicaid5905271NC

Accepted Insurance

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 Selam Bullock's NPI number?

The NPI number for Selam Bullock is 1922194000. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Selam Bullock located?

Selam Bullock practices at 400 Athletic Club Blvd Unit 101, Clayton, NC 27527. The listed phone number is (919) 267-1499.

What is Selam Bullock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Selam Bullock accept?

Health plans from Blue Cross and Blue Shield of NC list Selam Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Selam Bullock was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.