Proactive MD TX Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROACTIVE MD TX PROFESSIONAL CORPORATION

Practice address

2222 W Malone Ave
San Antonio, TX 78225-2022

Phone

(210) 660-4646

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Mark Kemble, MD

Title

Cmo

Phone

(864) 640-8355

Specialties & licenses 1

Addresses

Other names 1

• Proactive MD Tindall San Antonio Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

PMD Brakebush Health Center-Irving3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive MD TX Professional Corporation

  • Primary Care Clinic/Center
  • Irving, TX
  • NPI 1649853771
  NPD tax ID
• Proactive MD TX Professional Corporation

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1861175697
  NPD tax ID

Locations

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1245013192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 VILLA RD STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153052",
            "telephone_number": "864-640-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W MALONE AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252022",
            "telephone_number": "210-660-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MD TX PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "864-640-8355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive MD Tindall San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proactive MD Tindall San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pro Sports Rehab LLC
• Pro-Active Neurology & Sports Rehab
• Pro-Care Spine Center, LLC
• Pro-Care Spine Center, PLLC
• Pro-Care Spine Center, PLLC
• Procare Direct Access PLLC
• Procare Internal Medicine Associates, PLLC
• Procare Pharmacy, LLC
• Procare Wellness, LLC
• Prodigious Hospices LLC

• Primary Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.