DR. BROCK JAMES NICELER MD
NPI 1164608113
Family Medicine - Sports Medicine in Waco, TX

Q: What is Brock Niceler's NPI number?

The NPI number for Brock Niceler is 1164608113. It was assigned to this individual provider in the NPPES registry on January 20, 2008.

Q: What is Brock Niceler's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Brock Niceler was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 20, 2008PECOS EnrolledAccepts Medicare Assignment

1600 PROVIDENCE DR, WACO, TX 76707(254) 313-4200(254) 313-4549 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2019, Mar 31, 2017 (2 updates tracked since 2017).

On this page

About Dr. Brock James Niceler Md NPPES

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

DR. BROCK JAMES NICELER MD (NPI 1164608113) is an individual sports medicine provider in Waco, Texas, licensed in Texas (S0344) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Huntington, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2006).

NPPES Registry Identity

NPI1164608113

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. BROCK JAMES NICELERCredential: MD

Location Address1600 PROVIDENCE DRWaco, TX 76707-2261

Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200 · Fax (254) 313-4549

Phone(254) 313-4200

Fax(254) 313-4549

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2006

Enumeration DateJanuary 20, 2008

Last NPPES UpdateFebruary 11, 20192 updates tracked since enumeration

✔ NPI 1164608113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in TX · S0344✔ Licensed in NC · 2010-01146✔ Licensed in WV · 27244

Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2010-01146 (NC)

1600 PROVIDENCE DR, Waco, TX 76707

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Secondary Practice Location 1

Location 11600 Medical Center Dr, Suite G500Huntington, WV 25701-3656 · Phone (304) 691-1262 · Fax (304) 691-1666

Other Identifiers 2

Medicaid5915411NC

Other159H0NC · Bcbsnc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brock James Niceler Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527195528

PECOS Enrollment IDI20190227000327

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brock Niceler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Of Texas Community Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

1610 PROVIDENCE DR
Waco, TX 76707

Reassigned Medicare billing, Texas enrollment
166 clinicians in this Medicare group

NPI 1568191492 (254) 313-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ALLISON L HULME MD

Family Medicine