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LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI 1588093652


NPI Information

NPI: 1588093652
Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Other Name: POTOMAC PROFESSIONALS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9649 BELAIR RD
SECOND FLOOR
BALTIMORE, MD
ZIP 21236
Phone: (410) 248-2650
Get Directions

LIFEBRIDGE COMMUNITY PHYSICIANS, INC is a family medicine in Baltimore, MD. The provider is 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. LIFEBRIDGE COMMUNITY PHYSICIANS, INC NPI is 1588093652. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Potomac Professionals.

The provider's business location address is:

9649 BELAIR RD
SECOND FLOOR
BALTIMORE, MD
ZIP 21236-100
Phone: (410) 248-2650
Fax: (410) 248-2657

The provider's authorized official is Mary Wright-sisk .
The authorized official title is Director and has the following contact phone number (443) 422-9941.

The enumeration date for this NPI number is 11/8/2013 and was last updated on 1/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133NN1002XNutritionistNutrition, EducationNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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