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

Bradley Russell Heater

Individual provider Peer Specialist · NPI 1811740939

Bradley Russell Heater is a Peer Specialist in Louisa, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2024
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Practice location Address checks out

502 N Lackey Ave
Louisa, KY 41230-1206
Phone: (606) 483-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (KY)

Record details

NPI number1811740939
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address100 Short St, Louisa, KY 41230-1275

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