Santa Fe Family and Functional Medicine PC
NPI 1255400040 · Family Medicine Physician · Santa Fe, NM
Santa Fe Family and Functional Medicine PC is a Family Medicine Physician organization in Santa Fe, NM (NPI 1255400040).
Provider details
- NPI number
- 1255400040
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Gollub, President(505) 983-8387
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Isis Medicine
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2017-07-13
Frequently asked questions
- What is Santa Fe Family and Functional Medicine PC's NPI number?
- Santa Fe Family and Functional Medicine PC's National Provider Identifier (NPI) is 1255400040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Santa Fe Family and Functional Medicine PC?
- Santa Fe Family and Functional Medicine PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Santa Fe Family and Functional Medicine PC located?
- Santa Fe Family and Functional Medicine PC's practice location on file with NPPES is 401 Botulph Lane, Santa Fe, NM 87505.
- What is Santa Fe Family and Functional Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Santa Fe Family and Functional Medicine PC is (505) 983-8387.
- Who is the authorized official for Santa Fe Family and Functional Medicine PC?
- The authorized official listed on Santa Fe Family and Functional Medicine PC's NPPES record is Bruce Gollub, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Santa Fe Family and Functional Medicine PC's NPI active?
- Yes — Santa Fe Family and Functional Medicine PC's NPI (1255400040) is active in the NPPES registry as of the last update on 2017-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.