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

PROACTIVE MD IA PC
NPI 1922777465
Clinic/Center - Primary Care in Sergeant Bluff, IA

Q: What is Proactive MD Ia PC's NPI number?

The NPI number for Proactive MD Ia PC is 1922777465. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Proactive MD CF Port Neal Health Center.

Q: What is Proactive MD Ia PC's specialty?

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

Active since September 08, 2021

1182 260TH ST, SERGEANT BLUFF, IA 51054(712) 317-1130 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Sep 8, 2021 (2 updates tracked since 2021).

On this page

About Proactive Md Ia Pc NPPES

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

PROACTIVE MD IA PC (NPI 1922777465), doing business as Proactive Md Cf Port Neal Health Center, is a healthcare organization registered as a primary care in Sergeant Bluff, Iowa and active in the NPI registry since September 2021. The organization lists Mark A Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1922777465

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePROACTIVE MD IA PC

Location Address1182 260TH STSergeant Bluff, IA 51054-7739

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

Phone(712) 317-1130

Organization SubpartNo

Authorized OfficialMark A KembleCmo · (864) 640-8355

Enumeration DateSeptember 8, 2021

Last NPPES UpdateJune 29, 20262 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1922777465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1182 260TH ST, Sergeant Bluff, IA 51054

Open in Google Maps ↗

Other Names 1

Doing Business AsProactive Md Cf Port Neal Health Center

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 Ia PC's NPI number?

The NPI number for Proactive MD Ia PC is 1922777465. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Proactive MD CF Port Neal Health Center.

Where is Proactive MD Ia PC located?

Proactive MD Ia PC is located at 1182 260th St, Sergeant Bluff, IA 51054. The listed phone number is (712) 317-1130.

What is Proactive MD Ia PC'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 Ia PC 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 55 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.