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

Mr. Blake Anderson, BS, MS, CAA

Individual provider Anesthesiologist Assistant · NPI 1114615390

Mr. Blake Anderson, BS, MS, CAA is an Anesthesiology Assistant in Melbourne, Florida. Qualified in 2023, 3 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1775 W Hibiscus Blvd Ste 215
Melbourne, FL 32901-2627
Phone: (321) 837-3820
Fax: (321) 837-3654
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1114615390
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , MS , CAA
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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