Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BROCK JAMES NICELER, MD
ActiveDR. BROCK JAMES NICELER, MD is a Sports Medicine healthcare provider located in WACO, Texas. NPI 1164608113 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · WACO, TX
Registration Details
- NPI Number
- 1164608113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2008 (18.526183885152 yrs)
- Last Updated
- Feb 11, 2019
- Licenses
-
2010-01146 (NC)2010-01146 (NC)S0344 (TX)27244 (WV)
Practice Information
- Address
-
1600 PROVIDENCE DRWACO, TX, 767072261Browse TX providers · Browse ZIP 76707
- Phone
- 2543134200
- Fax
- 2543134549
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in WACO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER WAYNE MIARS | D.O. | 1194794537 |
| CORBETT HOWARD BOONE | M.D. | 1528119898 |
| LAURA IRVIN | D.O. | 1518345388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.