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

PROACTIVE MD MI PLLC
NPI 1255106498
Clinic/Center - Primary Care in Bruce Twp, MI

Active since November 17, 2023
164 MCLEAN, BRUCE TWP, MI 48065(864) 501-0751 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Aug 24, 2026, Nov 17, 2023 (3 updates tracked since 2023).

About Proactive Md Mi Pllc NPPES

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

PROACTIVE MD MI PLLC (NPI 1255106498), doing business as Proactive Md-l&l Health Center, is a healthcare organization registered as a primary care in Bruce Twp, Michigan and active in the NPI registry since November 2023. The organization lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1255106498
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD MI PLLC
Location Address164 MCLEANBruce Twp, MI 48065-4919
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355
Organization SubpartNo
Authorized OfficialMark Allen KembleChief Medical Officer · (864) 640-8355
Enumeration DateNovember 17, 2023
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1255106498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
164 MCLEAN, Bruce Twp, MI 48065

Other Names 1

Doing Business AsProactive Md-l&l Health Center

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
164 MCLEAN
BRUCE TWP, MI 48065

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 MD Mi PLLC's NPI number?

The NPI number for Proactive MD Mi PLLC is 1255106498. It was assigned to this organization in the NPPES registry on November 17, 2023. The provider is doing business as Proactive MD-L&L Health Center.

Where is Proactive MD Mi PLLC located?

Proactive MD Mi PLLC is located at 164 Mclean, Bruce Twp, MI 48065. The listed phone number is (864) 501-0751.

What is Proactive MD Mi PLLC'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 MD Mi PLLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.