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BRANDON RIDDLE
NPI 1205455730
Peer Specialist in Bowling Green, KY

Active since April 14, 2020
1711 ASHLEY CIR STE 6, BOWLING GREEN, KY 42104(270) 901-5000(270) 842-5268 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Riddle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON RIDDLE (NPI 1205455730) is an individual peer specialist in Bowling Green, Kentucky and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1205455730
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBRANDON RIDDLE
Location Address1711 ASHLEY CIR STE 6Bowling Green, KY 42104-5801
Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956 · (270) 901-5000 · Fax (270) 842-5268
Phone(270) 901-5000
Fax(270) 842-5268
Sole ProprietorNo
Enumeration DateApril 14, 2020
NPPES CertifiedApril 14, 2020
✔ NPI 1205455730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1711 ASHLEY CIR STE 6, Bowling Green, KY 42104
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILLARY S BACON CSW
Social Worker (Clinical)
1711 ASHLEY CIR STE 6
BOWLING GREEN, KY 42104
Warren County (270) 901-5000
LATONYA KEES
Case Manager/Care Coordinator
1711 ASHLEY CIR STE 6
BOWLING GREEN, KY 42104
Warren County (270) 901-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Riddle's NPI number?

The NPI number for Brandon Riddle is 1205455730. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Brandon Riddle located?

Brandon Riddle practices at 1711 Ashley Cir Ste 6, Bowling Green, KY 42104. The listed phone number is (270) 901-5000.

What is Brandon Riddle's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Brandon Riddle was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.