LIFEBRIDGE COMMUNITY PHYSICIANS INC. NPI 1477102309

NPI Information

  • NPI: 1477102309
  • Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Doing Business As: LIFEBRIDGE ENDOCRINOLOGY ASSOCAITES
  • Address: 5450 KNOLL NORTH DR STE 100
    COLUMBIA, MD
    ZIP 21045
  • Phone: (410) 368-1370

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NPI Details

LIFEBRIDGE COMMUNITY PHYSICIANS, INC. is an endocrinology and diabetes and metabolism internal medicine in Columbia, MD. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. LIFEBRIDGE COMMUNITY PHYSICIANS, INC. NPI is 1477102309. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifebridge Endocrinology Assocaites.

The provider's business location address is:

5450 KNOLL NORTH DR STE 100
COLUMBIA, MD
ZIP 21045-366
Phone: (410) 368-1370

The provider's authorized official is Mary Rebecca 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 9/4/2019 and was last updated on 11/9/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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: 11/21/2025

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