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

Dr. Ryan Joseph Bolt, DO

Individual provider Surgery Physician · NPI 1760974661

Dr. Ryan Joseph Bolt, DO is a General Surgery in Greenwood, South Carolina. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2018, 8 years ago. Practices with Self Regional Healthcare Partners, a 35-clinician group and accepts Medicare assignment. Licensed in Michigan and South Carolina.

Years since qualifying
8
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
MI, SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

160 Academy Ave
Greenwood, SC 29646-3808
Phone: (864) 223-8090
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 87907 (SC)
Surgery Physician Taxonomy 208600000X · Licence 5151009272 (MI)

Record details

NPI number1760974661
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESOctober 19, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2018 (8 years in practice)
Group practice Self Regional Healthcare Partners — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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