Brock Niceler (NPI# 1164608113, PAC ID# 8527195528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164608113 |
| PAC ID by PECOS | 8527195528 |
| Professional Enrollment ID | I20190227000327 |
| Full Name | Brock Niceler |
| Organization Legal Name | MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION |
| Address |
1600 Providence Dr Waco TX 76707-2261 |
| Phone Number | 2543134200 |
| Gender | M |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 0042205155 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1600 Providence Dr, Waco, TX 76707-2261 | 2543134200 | MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION |
| 1600 Providence Dr, Waco, TX 76707-2261 | HEART OF TEXAS COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Porter | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Rita L Haws | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Grace Marie Hecker | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Carena L Chai | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Jeremy G Korteweg | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Donald M Hardin Jr. | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Michael J Borucki | Internal Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Kimberly L Micus | Obstetrics/gynecology | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Lauren G Barron | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Kevin Steele | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Street Address |
1600 PROVIDENCE DR |
| City | WACO |
| State | TX |
| Zip | 76707-2261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Porter | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Rita L Haws | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Grace Marie Hecker | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Carena L Chai | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Jeremy G Korteweg | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Donald M Hardin Jr. | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Ashley M Pitts | Clinical Social Worker | Heart of Texas Community Health Center Inc | 1600 Providence Dr, Waco, TX 76707-2261 |
| Michael J Borucki | Internal Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Carey Lape | Physician Assistant | Heart of Texas Community Health Center Inc | 1600 Providence Dr, Waco, TX 76707-2261 |
| Lauren M Polson | Clinical Social Worker | Heart of Texas Community Health Center Inc | 1600 Providence Dr, Waco, TX 76707-2261 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly L Micus | Obstetrics/gynecology | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Lauren G Barron | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Kevin Steele | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Rebecca D Mahan | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Donald R Koester | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Courtney Blair Parker-hudson | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Latrisha Spain | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Zachary Sartor | Family Medicine | Heart of Texas Community Health Center Inc | 1600 Providence Dr, Waco, TX 76707-2261 |
| Jesse Cover | Family Medicine | Mclennan County Medical Education and Research Foundation | 1600 Providence Dr, Waco, TX 76707-2261 |
| Anna Hoffman | Clinical Social Worker | Heart of Texas Community Health Center Inc | 1600 Providence Dr, Waco, TX 76707-2261 |
| Find all physicians in zip 76707 | |||
| City | WACO |
| Zip Code | 76707 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WACO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brock Niceler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.