Individual
DR. SELAM BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 ATHLETIC CLUB BLVD UNIT 101, CLAYTON, NC 27527-6558
(919) 267-1499
Mailing address
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609-2508
(919) 250-3478
(919) 250-6272
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200201084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905271
—
NC
Enumeration date
10/05/2006
Last updated
02/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us