Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Santa Fe Family and Functional Medicine PC

Organization Family Medicine Physician · NPI 1255400040

Santa Fe Family and Functional Medicine PC provides Family Medicine Physician services in Santa Fe, New Mexico. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 Botulph Ln
Santa Fe, NM 87505
Phone: (505) 983-8387
Fax: (505) 820-2733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255400040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Gollub — President · (505) 983-8387
Other names Isis Medicine
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 13, 2017
Mailing address401 Botulph Lane, Santa Fe, NM 87505

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