Dr. Brock James Niceler
Family Doctor Family Doctor - Sports Medicine
1600 Providence Dr
Waco
, Texas 76707-2261
Dr. Brock James Niceler
Family Doctor Family Doctor - Sports Medicine
1600 Providence Dr
Waco
, Texas 76707-2261
(254) 313-4549
Write a Review Share Save Call
About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Brock James Niceler
- 1600 Providence Dr
- Waco, TX
- Zip : 76707-2261
- Fax : (254) 313-4549
- Phone : (254) 313-4200
Second Address
- Dr. Brock James Niceler
- 1600 Providence Dr
- Waco, TX
- Zip : 76707-2261
- Fax : (254) 313-4549
- Phone : (254) 313-4200
Reviews
FAQs
Where did Dr. Brock James Niceler attend graduate school?
Where did Dr. Brock James Niceler do his residency?
Where did Dr. Brock James Niceler do his fellowship?
Is Dr. Brock James Niceler board certified?
What type of doctor is Dr. Brock James Niceler
In what state does Dr. Brock James Niceler practice in?
Where is Dr. Brock James Niceler ’s practice located?
What is Dr. Brock James Niceler ’s gender?
Is Dr. Brock James Niceler a sole practitioner?
Is Dr. Brock James Niceler accepting new patients?
What languages does Dr. Brock James Niceler speak?
Does Dr. Brock James Niceler accept insurance?
Does Dr. Brock James Niceler offers telemedicine?
What is Dr. Brock James Niceler ’s professional license number?
What is Dr. Brock James Niceler ’s NPI number?
Does Dr. Brock James Niceler have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 2010-01146 | NC |
| N | 207QS0010X | Family Doctor - Sports Medicine | 2010-01146 | NC |
| N | 207QS0010X | Family Doctor - Sports Medicine | 27244 | WV |
| Y | 207QS0010X | Family Doctor - Sports Medicine | S0344 | TX |
National Provider Identifier
| NPI | 1164608113 |
|---|---|
| Provider Name | Dr. Brock James Niceler |
| First Address | Waco, TX 76707-2261 |
| Second Address | Waco, TX 76707-2261 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/01/2008 |
| Last Update Date | 11/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 159H0 | BCBSNC (01) | NC |
| 5915411 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.