MDLIVE MEDICAL GROUP NM, LLC
NPI 1174201156
Dermatology in Bloomfield, CT

Active since July 10, 2023
900 COTTAGE GROVE RD, BLOOMFIELD, CT 06002(800) 400-6354 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Jul 10, 2023 (2 updates tracked since 2023).

About Mdlive Medical Group Nm, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MDLIVE MEDICAL GROUP NM, LLC (NPI 1174201156), doing business as Mdlive Medical Group, is a healthcare organization registered as a dermatology in Bloomfield, Connecticut and active in the NPI registry since July 2023. The organization lists Sue-ann Adrians, Gp Pm, as its authorized official.

NPPES Registry Identity

NPI1174201156
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMDLIVE MEDICAL GROUP NM, LLC
Location Address900 COTTAGE GROVE RDBloomfield, CT 06002-2920
Mailing AddressPo Box 5006Hartford, CT 06102-5006
Organization SubpartNo
Authorized OfficialSue-ann AdriansGp Pm · (800) 400-6354
Enumeration DateJuly 10, 2023
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1174201156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
900 COTTAGE GROVE RD, Bloomfield, CT 06002

Other Names 1

Doing Business AsMdlive Medical Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Family Medicine
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Pediatrics
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Dermatology
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Family Medicine
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Pharmacist
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Psychiatry & Neurology (Psychiatry)
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Family Medicine
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mdlive Medical Group Nm, LLC's NPI number?

The NPI number for Mdlive Medical Group Nm, LLC is 1174201156. It was assigned to this organization in the NPPES registry on July 10, 2023. The provider is doing business as Mdlive Medical Group.

Where is Mdlive Medical Group Nm, LLC located?

Mdlive Medical Group Nm, LLC is located at 900 Cottage Grove Rd, Bloomfield, CT 06002. The listed phone number is (800) 400-6354.

What is Mdlive Medical Group Nm, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Mdlive Medical Group Nm, LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.