Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mdlive Medical Group PA

Organization Emergency Medicine Physician · NPI 1366150435

Mdlive Medical Group PA is an Emergency Medicine Physician in Bloomfield, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Cottage Grove Rd
Bloomfield, CT 06002-2920
Phone: (800) 400-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1366150435
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMdlive Medical Group PA
Authorized official Sue-Ann Adrians — Gp Pm · (945) 275-1345
NPI enumeratedNovember 8, 2022
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing addressPo Box 5006, Hartford, CT 06102-5006

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