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

Dr. Blake Anderson, MD

Individual provider Family Medicine Physician · NPI 1093798134

Dr. Blake Anderson, MD is a Family Practice in Ballwin, Missouri. Graduated from University of Texas Medical School at San Antonio in 1993, 33 years ago. Practices with Golden Valley Memorial Hospital District, a 137-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
33
Trained at
University of Texas Medical School at San Antonio
Licensed in
MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1344 Red Oak Plantation Dr
Ballwin, MO 63021-7346
Phone: (314) 591-3417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2009013290 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2009013290 (MO)

Record details

NPI number1093798134
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESApril 8, 2014
Mailing address1344 Red Oak Plantation Dr, Ballwin, MO 63021-7346

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1993 (33 years in practice)
Group practice Golden Valley Memorial Hospital District — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ballwin