Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Corey S. Blackburn, DPM

Individual provider Podiatrist · NPI 1528350485

Dr. Corey S. Blackburn, DPM is a Podiatry in Grand Island, Nebraska. Graduated from College of Podiatric Med and Surgery, Des Moines University in 2011, 15 years ago. Practices with Prairie Foot and Ankle PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
15
Trained at
College of Podiatric Med and Surgery, Des Moines University
Licensed in
NE
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3016 W Faidley Ave
Grand Island, NE 68803-4109
Phone: (308) 646-0077
Fax: (308) 646-0317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1832 Aspen Ln Ste A, Grand Island, NE 68803-2487 — (308) 646-0077

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 341 (NE)

Record details

NPI number1528350485
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 11, 2011
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCOLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Prairie Foot And Ankle Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Grand Island