Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROACTIVE MSO, LLC
NPI 1174076145
Clinic/Center - Primary Care in Brazil, IN

Q: What is Proactive Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1174076145. It was assigned to this organization in the NPPES registry on July 26, 2016. The provider is doing business as Proactive MD Brazil Health Center.

Q: What is Proactive Mso, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since July 26, 2016

501 E JACKSON ST, BRAZIL, IN 47834(812) 420-1410(812) 420-1488 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Proactive Mso, Llc NPPES

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

PROACTIVE MSO, LLC (NPI 1174076145), doing business as Proactive Md Brazil Health Center, is a healthcare organization registered as a primary care in Brazil, Indiana and active in the NPI registry since July 2016. The organization lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1174076145

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePROACTIVE MSO, LLC

Location Address501 E JACKSON STBrazil, IN 47834-2650

Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 501-0751

Phone(812) 420-1410

Fax(812) 420-1488

Organization SubpartNo

Authorized OfficialMark KembleCmo · (864) 640-8355

Enumeration DateJuly 26, 2016

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1174076145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in IN · 01059956A

501 E JACKSON ST, Brazil, IN 47834

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Other Names 1

Doing Business AsProactive Md Brazil Health Center

Other Providers at the Same Location NPPES 2

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

HEATHER RENEE GIBBENS FNP-C

Nurse Practitioner (Primary Care)

501 E JACKSON ST
BRAZIL, IN 47834

Clay County (812) 264-2765

MRS. JANICE RENEE HAMMOND N.P.

Nurse Practitioner (Family)

501 E JACKSON ST
BRAZIL, IN 47834

Clay County (888) 862-9525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1174076145. It was assigned to this organization in the NPPES registry on July 26, 2016. The provider is doing business as Proactive MD Brazil Health Center.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 501 E Jackson St, Brazil, IN 47834. The listed phone number is (812) 420-1410.

What is Proactive Mso, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proactive Mso, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.