Organization · Type 2 NPI

Proactive Mso, LLC

Primary Care Clinic/Center · Bloomington, IN

NPI number 1427569367 Active

Practice location

524 N Fairview St
Bloomington, IN 47404-3774

Call (812) 645-1892 Map

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

4 other providers at this address

Community Health NetworkFamily Medicine Physician Bloomington, IN NPI 1306147236
Community Health Network IncFamily Medicine Physician Bloomington, IN NPI 1639416167
Casey Jo Hood, APRN, MSN, FNP-CFamily Nurse Practitioner Bloomington, IN NPI 1447883517
Cerina Marie Cunningham, NPFamily Nurse Practitioner Bloomington, IN NPI 1255939484

Other primary care clinic/center providers in Bloomington

See all in Bloomington →

NPI record

NPI: 1427569367
Entity type: Organization (Type 2)
Issued: Oct 18, 2017
Last updated: Sep 8, 2026
Status: Active

Other names

<unavail>
Proactive MD Monroe Health Center · doing business as
Proactive MD · other name

Authorized official

Mark A Kemble, MD
Chief Medical Officer
(864) 640-8355

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1427569367

Proactive Mso, LLC's National Provider Identifier is 1427569367, issued on Oct 18, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bloomington, IN. The record was last updated on Sep 8, 2026.