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

Blake Henderson Bentley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124777420

Blake Henderson Bentley, MD is a Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
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

1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-4490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NC)

Record details

NPI number1124777420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

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