Active NPI
Proactive MD TX Professional Corporation
Doing business as PMD Brakebush Health Center-Irving
- Primary Care Clinic/Center
- Irving, TX
National Provider Identifier
1649853771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PROACTIVE MD TX PROFESSIONAL CORPORATION
- Doing business as
- PMD Brakebush Health Center-Irving
- Practice address
- 2230 E Union Bower Rd
Irving, TX 75061-8814 - Phone
- (864) 501-0751
- NPI assigned
- May 5, 2021
- Last updated
- Sep 2, 2026
- 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
- Mark A Kemble, MD
- Title
- Cmo
- Phone
- (864) 640-8355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2230 E Union Bower Rd
Irving, TX 75061-8814
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone (864) 640-8355
Other names 1
- PMD Brakebush Health Center-Irving
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2227446 | Proactive MD Brakebush Irving Health Center | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- PMD Brakebush Health Center-Irving
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Proactive MD Tindall San Antonio
- Primary Care Clinic/Center
- San Antonio, TX
- NPI 1245013192
-
dba Proactive MD
- Primary Care Clinic/Center
- Greenville, SC
- NPI 1861175697
Locations
2230 E Union Bower Rd
Irving, TX 75061
Phone (972) 465-9686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1649853771",
"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": "2230 E UNION BOWER RD",
"city": "IRVING",
"state": "TX",
"postal_code": "750618814",
"telephone_number": "864-501-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE MD TX PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-05",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "KEMBLE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"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": "PMD Brakebush Health Center-Irving",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irving, TX
- Garrett Lamont Prince
- Pristine Smiles of Irving
- Priyanka Agarwal MD PLLC (Prime Endocrinology and Diabetes)
- Pro Fit Optix, Inc. (PFO Global)
- Pro-Care Injury and Rehab Centers, Inc.
- Professional Assistant Services PA
- Professional Emergency Service Association of Irving
- Professional Exam Services Inc.
- Professional Pharmacy II
- Prog RX, LLC
Sources for this page
- 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.