Active NPI
William R Blackburn, MD
- Psychiatry Physician
- Battle Creek, MI
National Provider Identifier
1982137394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301508277
- Practice address
- 5500 Armstrong Rd
Battle Creek, MI 49037-7314 - Phone
- (269) 966-5600
- NPI assigned
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301508277 | MI | Primary |
Addresses
Primary practice location
5500 Armstrong Rd
Battle Creek, MI 49037-7314
Mailing address
5500 Armstrong Rd
Battle Creek, MI 49037-7314
Other practice location 1
117 W Paterson St
Kalamazoo, MI 49007-2581
Phone (269) 349-2641
Other practice location 2
505 E Alcott St
Kalamazoo, MI 49001-6144
Phone (269) 349-2641
Other practice location 3
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6373
Other names 1
- Ryan Blackburn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301508277 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1982137394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490377314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490377314",
"telephone_number": "269-966-5600"
}
],
"practiceLocations": [
{
"address_1": "117 W Paterson St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490072581",
"country_code": "US",
"telephone_number": "269-349-2641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 E Alcott St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490016144",
"country_code": "US",
"telephone_number": "269-349-2641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-6373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKBURN",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-04",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301508277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RYAN",
"last_name": "BLACKBURN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.