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LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI 1902287121


NPI Information

NPI: 1902287121
Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Doing Business As: LIFEBRIDGE HEALTH PRIMARY CARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 21D2198036

Address:
2411 W BELVEDERE AVE
SUITE 504
BALTIMORE, MD
ZIP 21215
Phone: (410) 601-0070
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LIFEBRIDGE COMMUNITY PHYSICIANS, INC is an internal medicine in Baltimore, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LIFEBRIDGE COMMUNITY PHYSICIANS, INC NPI is 1902287121. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifebridge Health Primary Care.

The provider's business location address is:

2411 W BELVEDERE AVE
SUITE 504
BALTIMORE, MD
ZIP 21215-228
Phone: (410) 601-0070
Fax: (410) 601-0290

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 CLIA number assigned to this NPI record is 21D2198036 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 8/27/2021.


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
1207R00000XInternal MedicineMARYLANDYes

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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