IndividualActive
Gary Blackburn
NPI 1467896258 · Prosthetic/Orthotic Supplier · Noblesville, IN
Provider details
- NPI number
- 1467896258
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 S 9th St
Suite 17
Noblesville, IN 46060-2717
Phone: (317) 774-0969
Fax: (317) 774-5741
Street-level locationGet directions
Mailing address
14098 Meadow Lake Dr
Fishers, IN 46038-5587
Registry dates
- Enumerated
- 2013-04-23
- Last updated
- 2013-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.