Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GLENN KOONTZ BLACKBURN JR. M.D.
NPI 1750351037
Pediatrics - Adolescent Medicine in Somerset, KY

Q: What is Glenn Blackburn's NPI number?

The NPI number for Glenn Blackburn is 1750351037. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Glenn Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Blackburn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since January 26, 2006

CHILDREN'S CLINIC, 350 LANGDON ST., SOMERSET, KY 42503(606) 678-8155(606) 678-7548 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Glenn Koontz Blackburn Jr. M.d. NPPES

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

DR. GLENN KOONTZ BLACKBURN JR. M.D. (NPI 1750351037) is an individual adolescent medicine provider in Somerset, Kentucky, licensed in Kentucky (16207) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1750351037

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. GLENN KOONTZ BLACKBURN JR.Credential: M.D.

Location AddressCHILDREN'S CLINIC, 350 LANGDON ST.Somerset, KY 42503

Mailing AddressChildren's Clinic, 350 Langdon St.Somerset, KY 42503 · (606) 678-8155 · Fax (606) 678-7548

Phone(606) 678-8155

Fax(606) 678-7548

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1750351037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in KY · 16207

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CHILDREN'S CLINIC, Somerset, KY 42503

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Other Identifiers 1

Medicaid64162076KY

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 Glenn Blackburn's NPI number?

The NPI number for Glenn Blackburn is 1750351037. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Glenn Blackburn located?

Glenn Blackburn practices at Children's Clinic 350 Langdon St., Somerset, KY 42503. The listed phone number is (606) 678-8155.

What is Glenn Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Glenn Blackburn was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.