B .glenn Blair Dpm P.c.
Primary Podiatric Medicine
375 Bridgeport Ave, Shelton
Connecticut, 06484-3844
203-929-5559 203-929-5277
B .glenn Blair Dpm P.c. is a Primary Podiatric Medicine in Shelton, Connecticut. It is located at 375 Bridgeport Ave, Shelton and it's customer support contact number is 203-929-5559. The authorized person of B .glenn Blair Dpm P.c. is Mrs. Julie M Russell who is Office Manager of this DME and her contact number is 203-929-5559. Active license number of B .glenn Blair Dpm P.c. is 000419 for Primary Podiatric Medicine in Connecticut. B .glenn Blair Dpm P.c. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
B .glenn Blair Dpm P.c. is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
B .glenn Blair Dpm P.c. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | B .glenn Blair Dpm P.c. |
| Type: | Primary Podiatric Medicine |
| Location: | 375 Bridgeport Ave, Shelton,
Connecticut, 06484-3844 |
| Phone: | 203-929-5559 |
| Fax: | 203-929-5277 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Julie M Russell |
| Position: | Office Manager |
| Contact Number: | 203-929-5559 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1306020938 |
| NPI Enumeration Date: | 18 Dec, 2007 |
| NPI Last Update On: | 02 Apr, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for B .glenn Blair Dpm P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Primary Podiatric Medicine | 000419 | Connecticut | Primary | |
| Radiology | 000419 | Connecticut | Secondary | |
| Foot Surgery | 000419 | Connecticut | Secondary | |
| Durable Medical Equipment & Medical Supplies | CT000419 | Connecticut | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 004176815 | Medicaid | Connecticut | |
Medicare Enrollment:
B .glenn Blair Dpm P.c. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4981725553 | O20111213000275 | B .glenn Blair Dpm P.c. | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 375 Bridgeport Ave,
Shelton, Connecticut |
| Zip: | 06484-3844 |
| Phone Number: | 203-929-5559 |
| Fax Number: | 203-929-5277 |
Patients can reach B .glenn Blair Dpm P.c. at
375 Bridgeport Ave, Shelton, Connecticut or can
call on customer care at 203-929-5559.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.