BALLARD GLENN BLAIR D.P.M NPI 1356350201

NPI Information

  • NPI: 1356350201
  • Provider Name: BALLARD GLENN BLAIR, D.P.M
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 375 BRIDGEPORT AVE
    SHELTON, CT
    ZIP 06484
  • Phone: (203) 929-5559

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NPI Details

Ballard Glenn Blair, D.P.M is a primary podiatric medicine podiatrist in Shelton, CT with 40 years of experience. Ballard Glenn Blair, D.P.M NPI is 1356350201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:1986

The provider's business location address is:

375 BRIDGEPORT AVE
SHELTON, CT
ZIP 06484
Phone: (203) 929-5559
Fax: (203) 929-5277

The NPI 1356350201 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Complicated or multiple drainage of skin abscess (HCPCS:10061)

The enumeration date for this NPI number is 8/7/2006 and was last updated on 9/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ER0200XPodiatristRadiology00419CONNECTICUTNo
2213ES0103XPodiatristFoot & Ankle Surgery00419CONNECTICUTNo
3213E00000XPodiatristCT000419CONNECTICUTNo
4213EP1101XPodiatristPrimary Podiatric Medicine00419CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T23311MEDICARE UPINCONNECTICUT
2004070918MEDICAIDCONNECTICUT
3480000654MEDICARE PINCONNECTICUT
41356350201MEDICARE NSCCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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