IndividualActive
Blake Poleynard, MD
NPI 1508865510 · Diagnostic Radiology Physician · Greenville, SC
Provider details
- NPI number
- 1508865510
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 19125 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone: (864) 797-6015
Approximate (ZIP-level) locationGet directions
Mailing address
1 Independence PT
Greenville, SC 29615-4545
Additional practice locations (1)
- 3600 Minnesota Dr Ste 800Edina, MN 55435-7915Phone: (952) 595-1301Fax: (612) 294-4903
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.