NPI age
20 years
Enumerated 2006-03-31
● Active
Type 1 · Individual
DR. Mark S. Sicilio, M.D.
Sicilio is 1 of 6 pediatrics providers in Bryan and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
2900 E 29th St Ste 200
Bryan, TX 778022623
Mailing address
2900 E 29th St Ste 100
Bryan, TX 778022623
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 130312513 | |
| 01 (TX) | 84E416 | BLUE SHIELD |
| 05 (TX) | 1303125-02 | |
| 01 (TX) | 370017626 | RR/MEDICARE |
| 01 (TX) | 1303125-03 | CSHCN |
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new pediatrics provider has been added in Bryan in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.