Mmg 1 PC
Mmg 1 PC is a healthcare organization registered as Internal Medicine Physician in West Bloomfield, MI, holding Type 2 (organization) NPI 1023043486 since 2006. The authorized official on file is Geoffrey Trivax, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023043486 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mmg 1 PC |
| Other name | <Unavail> |
| Practice address | 5821 W MAPLE RD, SUITE 190, West Bloomfield, MI, 48322 |
| Phone | 2488550407 |
| Fax | 2488551323 |
| Enumeration date | 2006-07-12 |
| Last updated in NPPES | 2021-05-24 |
Authorized official
| Name | Geoffrey Trivax |
|---|---|
| Title | President |
| Phone | 3135383099 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110F375900 | Other | MI | BLUE SHIELD GROUP |
| CG6179 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
Copy-ready billing details
Provider: Mmg 1 PC NPI: 1023043486 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 5821 W MAPLE RD, SUITE 190, West Bloomfield, MI, 48322
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720062334 | Seth Mindell | Individual | Internal Medicine Physician | West Bloomfield, MI |
| 1649255217 | David Rosman | Individual | Geriatric Medicine (Internal Medicine) Physician | West Bloomfield, MI |
| 1881679165 | Steven Feldman | Individual | Internal Medicine Physician | West Bloomfield, MI |
| 1619952975 | Tammi Cooper | Individual | Internal Medicine Physician | West Bloomfield, MI |
| 1790878015 | Richard Ng | Individual | Family Medicine Physician | West Bloomfield, MI |
| 1013000421 | David Brownstein | Individual | Family Medicine Physician | West Bloomfield, MI |
| 1922191345 | Jeffrey Nusbaum | Individual | Family Medicine Physician | West Bloomfield, MI |
| 1194091066 | Michael Feldman | Individual | Internal Medicine Physician | West Bloomfield, MI |
Verify this record
Cross-check NPI 1023043486 against the authoritative CMS record: view Mmg 1 PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mmg 1 PC?
Who is the authorized official for Mmg 1 PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-24.