Bradley James Hecker

Individual provider Active NPI Licensed Practical Nurse · Granite Falls, NC

NPI 1457245367 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1457245367
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
75500 (NC)
Practice address
279 Riverbend Dr
Granite Falls, NC 28630
Phone
(828) 579-4030
NPI assigned
Jun 5, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
75500NCMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 75500 NC Yes

Addresses

Primary practice location

279 Riverbend Dr
Granite Falls, NC 28630

Mailing address

9036 Bowman Lowman Ave
Hickory, NC 28601-7109
Phone (828) 579-4030

Other providers in Granite Falls, NC

All providers in Granite Falls, NC · Licensed Practical Nurse in North Carolina

Sources for this page

Verify at the official NPI Registry.