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Mmg 1pc

Family Medicine Physician in West Bloomfield, MI · enumerated 2006 · authorized official Geoffrey Trivax, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205855186

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Registry record

Entity type Organization (Type 2)
Legal business name Mmg 1pc
Practice address 7419 Middlebelt Rd, Suite 4, West Bloomfield, MI, 48322
Phone (248) 855-2291
Fax (248) 855-4901
Enumeration date Jul 19, 2006
Last updated in NPPES Sep 20, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Geoffrey Trivax
Title President
Phone (313) 538-3099

Other identifiers

Identifier Type State Issuer
700F321510 Other MI BLUE SHIELD GROUP

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.

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Frequently asked questions

What is the NPI number for Mmg 1pc?
The NPI for Mmg 1pc is 1205855186, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mmg 1pc?
NPPES lists Geoffrey Trivax (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-20.