P Praxis·MD
● Active Type 1 · Individual

DR. Brock James Niceler, MD

Family Medicine·Waco, TX· NPI 1164608113 · Enumerated 2008 · 18 years on NPI
Niceler is 1 of 6 family medicine providers in Waco and 1 of 251 in Texas.
NPI age
18 years
Enumerated 2008-01-20
Primary specialty
Family Medicine
Plus 3 subspecialties
Licensed in
TX, NC, WV
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-02-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 251 active family medicine providers in Texas.

NPI age
18 years
↑ 6 yr above median (12 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 49% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Practice location
1600 Providence Dr
Waco, TX 767072261
📞 2543134200fax 2543134549
Mailing address
1600 Providence Dr
Waco, TX 767072261
📞 2543134200fax 2543134549

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1600 Medical Center Dr, Suite G500
Huntington, WV 257013656
📞 3046911262fax 3046911666

Specialties

  • Family Medicine Primary
    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...
    TX license #S0344NC license #2010-01146WV license #27244 taxonomy 207QS0010X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    NC license #2010-01146 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (NC) 5915411
01 (NC) 159H0 BCBSNC
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 174 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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