MDLIVE MEDICAL GROUP TX PLLC – NPI #1063885549
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MDLIVE MEDICAL GROUP TX PLLC is a provider located in BLOOMFIELD, CT. NPPES has assigned the NPI number 1063885549 to MDLIVE MEDICAL GROUP TX PLLC on November 05, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 10, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MDLIVE MEDICAL GROUP TX PLLC below.

NPI Profile for
MDLIVE MEDICAL GROUP TX PLLC

NPI Number
1063885549
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MDLIVE MEDICAL GROUP TX PLLC
Primary location
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002-2920
Phone: (800) 400-6354 Fax:
1 Other location(s):
8951 Cypress Waters Blvd Ste 160
Coppell, TX 75019-4784
Phone: (800) 400-6354
Mailing address
PO BOX 5006
HARTFORD, CT 06102-5006
Phone: (800) 400-6354 Fax:
Organization Subpart
No
Authorized Official
SUE-ANN ADRIANS
GP PM
Phone: (800) 400-6354
Updated
Certification Date
Apr 10, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics
207R00000X
- Internal Medicine
207P00000X
- Emergency Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.