DR. BRENT G NICK (MD) – Pediatrics Physician, NPI 1023019205

DR. BRENT G NICK (MD) is a healthcare provider. based in Austin, Texas. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 019461 (LA). The NPI Number for DR. BRENT G NICK (MD) is 1023019205

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT G NICK (MD)
NPI
1023019205
Phone
(512) 483-9596
Address
6210 E HIGHWAY 290
Enumeration Date
10 August 2005
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
5122449024
Graduation Year
1987 (39 years ago)
PAC ID
8527964659
Group Practice PAC ID
3072507789
Professional Enrollment ID
I20161109000502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. BRENT G NICK (MD)

  • 6210 E HIGHWAY 290

    AUSTIN, TX 787231142

    Phone: (512) 483-9596

    Fax: (512) 406-6216

    Type: Mailing

  • 801 E WHITESTONE BLVD STE C

    CEDAR PARK, TX 786137558

    Phone: (512) 259-3467

    Type: Location

  • Quarry Lake Business Center, 4515, Seton Center Parkway, Quarry, Austin, Travis County, Texas, 78759, United States

    SUITE 215

    AUSTIN, TX 787595290

    Phone: (512) 231-5506

    Fax: (512) 406-6216

    Type: Mailing

  • 11714, Wilson Parke Avenue, Austin, Travis County, Texas, 78726, United States

    SUITE 150

    AUSTIN, TX 787264060

    Phone: (737) 247-7200

    Fax: (512) 406-7368

    Type: Location

  • 11714 Wilson Parke Ave

    Suite 150

    Austin, TX 787264060

    Phone: (737) 247-7200

    Fax: (512) 406-7368

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Cranial Technologies, Inc ($47).

Total Amount

$96

General + Research + Ownership

Payments

4

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250225002432IPediatric MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78723)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072507789View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. BRENT G NICK (MD)?
The federal identifier for DR. BRENT G NICK (MD) is NPI 1023019205.
Does this profile mean DR. BRENT G NICK (MD) is currently active?
Yes — DR. BRENT G NICK (MD) appears active in the national provider directory.
What does DR. BRENT G NICK (MD) treat or focus on?
Patients typically see DR. BRENT G NICK (MD) under the specialty Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Does DR. BRENT G NICK (MD) practice in Texas?
You will see Austin, Texas on file for DR. BRENT G NICK (MD) alongside any extra practice locations.
How can I contact DR. BRENT G NICK (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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