OrganizationActive
Proactive Mso, LLC
NPI 1174076145 · Primary Care Clinic/Center · Brazil, IN
Proactive Mso, LLC is a Primary Care Clinic/Center organization in Brazil, IN (NPI 1174076145).
Provider details
- NPI number
- 1174076145
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Kemble, Cmo(864) 501-0751
- License
- 01059956A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 E Jackson St
Brazil, IN 47834-2650
Phone: (812) 420-1410
Fax: (812) 420-1488
Street-level locationGet directions
Mailing address
124 Allawood Ct
Simpsonville, SC 29681-6207
Other names (DBA / former)
- Doing business as
- Proactive MD Brazil Health Center
Registry dates
- Enumerated
- 2016-07-26
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is Proactive Mso, LLC's NPI number?
- Proactive Mso, LLC's National Provider Identifier (NPI) is 1174076145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Mso, LLC?
- Proactive Mso, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive Mso, LLC located?
- Proactive Mso, LLC's practice location on file with NPPES is 501 E Jackson St, Brazil, IN 47834-2650.
- What is Proactive Mso, LLC's phone number?
- The practice phone number listed in the NPPES registry for Proactive Mso, LLC is (812) 420-1410.
- Who is the authorized official for Proactive Mso, LLC?
- The authorized official listed on Proactive Mso, LLC's NPPES record is Mark Kemble, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Mso, LLC's NPI active?
- Yes — Proactive Mso, LLC's NPI (1174076145) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.