OrganizationActive
Mmg 1PC
NPI 1205855186 · Family Medicine Physician · West Bloomfield, MI
Provider details
- NPI number
- 1205855186
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Trivax, President(313) 538-3099
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7419 Middlebelt Rd
Suite 4
West Bloomfield, MI 48322-4182
Phone: (248) 855-2291
Fax: (248) 855-4901
Street-level locationGet directions
Mailing address
29992 Northwestern Hwy Ste C
Farmington Hills, MI 48334-3292
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2018-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.