Organization Active NPI

Pro-Action, Inc.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1093853418
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6973 Issued in TX
Legal business name
PRO-ACTION, INC.
Practice address
1400 George Dieter Dr Ste 260
El Paso, TX 79936-7658
Phone
(915) 533-3414
Fax
(915) 533-3515
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Henry Brutus, MA
Title
Executive Director
Phone
(915) 532-2771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K6973 TX Primary
Public Health or Welfare Agency 251K00000X K6973 TX

Addresses

Primary practice location

1400 George Dieter Dr Ste 260
El Paso, TX 79936-7658

Mailing address

PO Box 962505
El Paso, TX 79996-2505
Phone (915) 533-3414

Other practice location 1

6292 Trowbridge Dr
El Paso, TX 79905-2116
Phone (915) 881-1100

Other identifiers 1

IdentifierTypeStateIssuer
017972302MedicaidTX

Other names 1

  • Immunize El Paso Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524001042 TX Part B Supplier - Clinic/Group Practice 8022915008 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

222 S Campbell St
El Paso, TX 79901
Phone (915) 533-3414

222 S Campbell St
Bsmt
El Paso, TX 79901
Phone (915) 533-3414

1580 George Dieter Dr
Ste 103
El Paso, TX 79936

6292 Trowbridge Dr
El Paso, TX 79905
Phone (915) 533-3414

125 N Glenwood St
Ste F
El Paso, TX 79905

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1093853418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962505",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799962505",
            "telephone_number": "915-533-3414",
            "fax_number": "915-533-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GEORGE DIETER DR STE 260",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367658",
            "telephone_number": "915-533-3414",
            "fax_number": "915-533-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6292 Trowbridge Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052116",
            "country_code": "US",
            "telephone_number": "915-881-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO-ACTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "915-532-2771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6973",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": "K6973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017972302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immunize El Paso",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Immunize El Paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.