NPI Details
DR. Brock James Niceler, MD is a sports medicine family medicine in Waco, TX with 19 years of experience. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. DR. Brock James Niceler, MD NPI is 1164608113. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2006
The provider's business location address is:
1600 PROVIDENCE DR
WACO, TX
ZIP 76707-261
Phone: (254) 313-4200
Fax: (254) 313-4549
The NPI 1164608113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
The enumeration date for this NPI number is 1/20/2008 and was last updated on 2/11/2019.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 2010-01146 | NORTH CAROLINA | No |
| 2 | 207QS0010X | Family Medicine | Sports Medicine | 2010-01146 | NORTH CAROLINA | No |
| 3 | 207QS0010X | Family Medicine | Sports Medicine | 27244 | WEST VIRGINIA | No |
| 4 | 207QS0010X | Family Medicine | Sports Medicine | S0344 | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 5915411 | MEDICAID | NORTH CAROLINA | |
| 2 | 159H0 | OTHER | NORTH CAROLINA | BCBSNC |
