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

Blake Allen Hoerdeman, DO

Individual provider Surgery Physician · NPI 1992362420

Blake Allen Hoerdeman, DO is a General Surgery in Fayetteville, North Carolina. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2020, 6 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 615-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1841 Quiet Cv, Fayetteville, NC 28304-3985 — (910) 904-8686

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2025-01816 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992362420
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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