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B .GLENN BLAIR DPM P.C.
NPI 1306020938
Podiatrist - Primary Podiatric Medicine in Shelton, CT

Active since December 18, 2007
375 BRIDGEPORT AVE, SHELTON, CT 06484(203) 929-5559(203) 929-5277 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About B .glenn Blair Dpm P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

B .GLENN BLAIR DPM P.C. (NPI 1306020938) is a healthcare organization registered as a primary podiatric medicine in Shelton, Connecticut and active in the NPI registry since December 2007. The organization lists Julie M Russell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306020938
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameB .GLENN BLAIR DPM P.C.
Location Address375 BRIDGEPORT AVEShelton, CT 06484-3844
Mailing Address375 Bridgeport AveShelton, CT 06484-3844 · (203) 929-5559 · Fax (203) 929-5277
Phone(203) 929-5559
Fax(203) 929-5277
Organization SubpartNo
Authorized OfficialJulie M RussellOffice Manager · (203) 929-5559
Enumeration DateDecember 18, 2007
Last NPPES UpdateApril 2, 2012
✔ NPI 1306020938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in CT · 000419
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License 000419 (CT)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 000419 (CT)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License CT000419 (CT)
375 BRIDGEPORT AVE, Shelton, CT 06484
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Other Identifiers 3

Medicare NSC1229830001CT
Medicaid004176815CT
Medicare PINC02031CT

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

B .glenn Blair Dpm P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to B .Glenn Blair DPM P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ballard Blair, D.P.M
Podiatry
NPI 1356350201
375 BRIDGEPORT AVE
Shelton, CT 06484
(203) 929-5559
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 B .Glenn Blair Dpm P.C.'s NPI number?

The NPI number for B .Glenn Blair Dpm P.C. is 1306020938. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is B .Glenn Blair Dpm P.C. located?

B .Glenn Blair Dpm P.C. is located at 375 Bridgeport Ave, Shelton, CT 06484. The listed phone number is (203) 929-5559.

What is B .Glenn Blair Dpm P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is B .Glenn Blair Dpm P.C. enrolled in Medicare?

Yes. B .Glenn Blair Dpm P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through B .Glenn Blair Dpm P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to B .Glenn Blair Dpm P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for B .Glenn Blair Dpm P.C. was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.