Individual
DR. BROCK JAMES NICELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010-01146
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2010-01146
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
27244
WV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
S0344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159H0
BCBSNC
NC
05
—
5915411
—
NC
Enumeration date
01/20/2008
Last updated
02/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us