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

Blake Sanders, DO

Individual provider Dermatology Physician · NPI 1972962710

Blake Sanders, DO is a Dermatology in Mooresville, North Carolina. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Pennsylvania.

Years since qualifying
10
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
NC, PA
In the registry since
2016
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

170 Medical Park Rd Ste 203
Mooresville, NC 28117-8540
Phone: (980) 550-2400
Fax: (980) 550-2424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2021-03162 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence OS020540 (PA)

Record details

NPI number1972962710
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 22, 2016
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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