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

Dr. Blake Bailey Anderson, MD

Individual provider Surgery Physician · NPI 1760779458

Dr. Blake Bailey Anderson, MD is an Urology in Centerville, Ohio. Qualified in 2011, 15 years ago. Practices with Dayton Physicians LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Ohio.

Years since qualifying
15
Licensed in
IL, IN, OH
In the registry since
2011
Specialties on file
3
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

2350 Miami Valley Dr Ste 500
Centerville, OH 45459-4780
Phone: (937) 293-1622
Fax: (937) 245-6308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9000 N Main St Ste 200, Englewood, OH 45415-1165 — (937) 293-1622

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 35133214 (OH)
Surgery Physician Taxonomy 208600000X · Licence 125.059643 (IL)
Urology Physician Taxonomy 208800000X · Licence 01078386A (IN)

Record details

NPI number1760779458
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022
Mailing address6680 Poe Ave Ste 200, Dayton, OH 45414-2855

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dayton Physicians Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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