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GARY ROBERT BLACKBURN
NPI 1467896258
Prosthetic/Orthotic Supplier in Noblesville, IN

Active since April 23, 2013
501 S 9TH ST, SUITE 17, NOBLESVILLE, IN 46060(317) 774-0969(317) 774-5741 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary Robert Blackburn NPPES

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

GARY ROBERT BLACKBURN (NPI 1467896258) is an individual prosthetic/orthotic supplier provider in Noblesville, Indiana and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1467896258
Entity TypeIndividualMale
Primary Taxonomy335E00000X
Provider Legal NameGARY ROBERT BLACKBURN
Location Address501 S 9TH ST, SUITE 17Noblesville, IN 46060-2717
Mailing Address14098 Meadow Lake DrFishers, IN 46038-5587 · (317) 774-0969 · Fax (317) 774-5741
Phone(317) 774-0969
Fax(317) 774-5741
Sole ProprietorYes
Enumeration DateApril 23, 2013
Last NPPES UpdateJuly 3, 2013
✔ NPI 1467896258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
501 S 9TH ST, Noblesville, IN 46060
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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 Gary Blackburn's NPI number?

The NPI number for Gary Blackburn is 1467896258. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Gary Blackburn located?

Gary Blackburn practices at 501 S 9th St Suite 17, Noblesville, IN 46060. The listed phone number is (317) 774-0969.

What is Gary Blackburn's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Gary Blackburn was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.