Ballard Glenn Blair
D.P.M | Podiatrist - Primary Podiatric Medicine | 39+ years Exp
Medicare Enrolled
375 Bridgeport Ave, Shelton
Connecticut, 06484
203-929-5559 203-929-5277
Maps & DirectionsBallard Glenn Blair is a Shelton, Connecticut based podiatrist with 39 years of experience in Primary Podiatric Medicine. He completed his graduation from College Of Podiatric Med And Surgery, Des Moines University in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ballard Glenn Blair for Primary Podiatric Medicine is 00419 in Connecticut.
Ballard Glenn Blair provides care, treatment and management of the diabetic, elderly and circulation-impaired. The diagnosis, intervention and treatment on time may save patients from amputation, restore mobility or prevent other serious, more costly problems. By early detection patients can get appropriate treatment and prevent more serious problems.
Complete Profile:
Ballard Glenn Blair speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Primary Podiatric Medicine |
| Credentials: | D.P.M |
| Experience: | 39+ years |
| Medical School Attended: | College Of Podiatric Med And Surgery, Des Moines University |
| Graduation Year: | 1986 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 375 Bridgeport Ave, Shelton,
Connecticut, 06484 |
| Phone: | 203-929-5559 |
| Fax: | 203-929-5277 |
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 are as mentioned below.
| PAC ID: | 8921120718 |
| Enrollment ID: | I20111213000339 |
| NPI Number: | 1356350201 |
| NPI Enumeration Date: | 07 Aug, 2006 |
| NPI Last Update On: | 04 Sep, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ballard Glenn Blair are as mentioned below.
| License Number | Specialization | State | Status | |
| 00419 | Primary Podiatric Medicine | Connecticut | Primary | |
| 00419 | Podiatric Radiology | Connecticut | Secondary | |
| 00419 | Podiatric Foot & Ankle Surgery | Connecticut | Secondary | |
| CT000419 | Podiatry | Connecticut | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ballard Glenn Blair such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 004070918 | Medicaid | Connecticut | |
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 |
| Phone Number: | 203-929-5559 |
| Fax Number: | 203-929-5277 |
Patients can reach Ballard Glenn Blair at
375 Bridgeport Ave, Shelton, Connecticut or can
call to book an appointment on 203-929-5559.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.