Individual provider · Type 1 NPI

Travis J. Blackburn, DPM

Foot & Ankle Surgery Podiatrist · Brooklyn, NY

NPI number 1649965476 Active

Practice location

121 Dekalb Ave
Brooklyn, NY 11201-5425

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X007549 (NY)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1649965476

Travis J. Blackburn, DPM's National Provider Identifier is 1649965476, issued on Apr 7, 2023. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 24, 2026.