Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Santa Fe Family and Functional Medicine PC

Organization Family Medicine Physician · NPI 1255400040

Santa Fe Family and Functional Medicine PC is a Family Medicine Physician 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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