LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI 1588093652

NPI Information

  • NPI: 1588093652
  • Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • Address: 5400 OLD COURT RD STE 300B
    RANDALLSTOWN, MD
    ZIP 21133
  • Phone: (410) 521-7337

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NPI Details

LIFEBRIDGE COMMUNITY PHYSICIANS, INC is a family medicine in Randallstown, 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 .

The provider's business location address is:

5400 OLD COURT RD STE 300B
RANDALLSTOWN, MD
ZIP 21133-126
Phone: (410) 521-7337
Fax: (410) 521-7377

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 8/1/2025.

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
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: 11/21/2025

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