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

Mdlive Medical Group Tx PLLC

Organization Emergency Medicine Physician · NPI 1063885549

Mdlive Medical Group Tx PLLC is an Emergency Medicine Physician in Bloomfield, Connecticut. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
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.

Additional practice locations (1)

  • 8951 Cypress Waters Blvd Ste 160, Coppell, TX 75019-4784 — (800) 400-6354

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 number1063885549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue-Ann Adrians — Gp Pm · (800) 400-6354
NPI enumeratedNovember 5, 2015
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing addressPo Box 5006, Hartford, CT 06102-5006

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