Active NPI
Pro-Action, Inc.
- Family Medicine Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6973
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017972302 | Medicaid | TX |
Other names 1
- Immunize El Paso
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1558453670
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.