Mdlive Medical Group De PA
Family Medicine in Bloomfield, Connecticut
1992178115- Practice location
- 900 Cottage Grove RD, Bloomfield, CT 06002-2920
- Phone
- 800-400-6354
- Fax
- —
- Last updated
- May 12, 2026
Mdlive Medical Group De PA is a healthcare organization based in Bloomfield, CT. Mdlive Medical Group De PA practices in Bloomfield, CT. The NPI Number for Mdlive Medical Group De PA is 1992178115. The current practice location address for Mdlive Medical Group De PA is 900 Cottage Grove RD, Bloomfield, CT 06002-2920 and can be reached out via phone at 800-400-6354.
Provider Profile Details
- NPI Number
- 1992178115
- Provider Name
- Mdlive Medical Group De PA
- Provider Entity Type
- Organization
- Address
- 900 Cottage Grove RD, Bloomfield, CT 06002-2920
- Phone Number
- 800-400-6354
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Sue-Ann Adrians · Government Programs Pm · 945-275-1345
- Other Names
- Mdlive Medical Group (Doing Business As)
- Provider Enumeration Date
- November 10, 2015
- Last Update Date
- May 12, 2026
- Certification Date
- May 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 Cottage Grove RD
Bloomfield, CT 06002-2920 - City
- Bloomfield
- State
- Connecticut
- Zip
- 06002-2920
- Phone Number
- 800-400-6354
Provider Business Mailing Address Details
- Address
- Po Box 5006
Hartford, CT 06102-5006 - City
- Hartford
- State
- CT
- Zip
- 06102-5006
License Information
- Taxonomy (1)
- Internal Medicine, Sports Medicine · 207RS0010X
- Taxonomy (2)
- Counselor · 101Y00000X
- Taxonomy (3)
- Dermatology · 207N00000X
- Taxonomy (4)
- Pediatrics · 208000000X
- Taxonomy (5)
- Emergency Medicine · 207P00000X
- Taxonomy (6)
- Internal Medicine · 207R00000X
- Taxonomy (7)
- Social Worker · 104100000X
- Taxonomy (8)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mdlive Medical Group De PA?
The NPI number of Mdlive Medical Group De PA is 1992178115. It was assigned on November 10, 2015 and is currently active in the NPPES registry.
What is the specialty of Mdlive Medical Group De PA?
Mdlive Medical Group De PA is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Mdlive Medical Group De PA practice?
The practice location is 900 Cottage Grove RD, Bloomfield, CT 06002-2920. The office can be reached at 800-400-6354 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992178115 directly on the NPPES registry website.