DR. KENDALL LEON BLACKWELL DPM NPI 1366483638

NPI Information

  • NPI: 1366483638
  • Provider Name: DR. KENDALL LEON BLACKWELL, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1704 GLENDALE DR SW
    SUITE A
    WILSON, NC
    ZIP 27893
  • Phone: (252) 237-0138

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NPI Details

DR. Kendall Leon Blackwell, DPM is a primary podiatric medicine podiatrist in Wilson, NC with 39 years of experience. DR. Kendall Leon Blackwell, DPM NPI is 1366483638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1987

The provider's business location address is:

1704 GLENDALE DR SW
SUITE A
WILSON, NC
ZIP 27893-678
Phone: (252) 237-0138
Fax: (252) 237-7903

The NPI 1366483638 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)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection into tendon or ligament (HCPCS:20550)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)

The enumeration date for this NPI number is 6/9/2006 and was last updated on 8/9/2022.

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
1213ES0103XPodiatristFoot & Ankle Surgery238NORTH CAROLINANo
2213ES0131XPodiatristFoot Surgery238NORTH CAROLINANo
3213EP1101XPodiatristPrimary Podiatric Medicine238NORTH CAROLINAYes

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
179-0804GMEDICAIDNORTH CAROLINA

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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