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: August 09, 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
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

Other Identifiers 3

Medicare NSC1229830001CT
Medicaid004176815CT
Medicare PINC02031CT

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Primary Podiatric Medicine)
375 BRIDGEPORT AVE
SHELTON, CT 06484
Dentist (Endodontics)
375 BRIDGEPORT AVE
SHELTON, CT 06484
Dentist (General Practice)
375 BRIDGEPORT AVE
SHELTON, CT 06484

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.

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.