LIFEBRIDGE MEDICAL LLC
NPI 1003589706
Pain Medicine - Pain Medicine in Oklahoma City, OK

Active since July 28, 2021
1211 N SHARTEL AVE STE 801, OKLAHOMA CITY, OK 73103(405) 504-5433 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Jul 28, 2021 (2 updates tracked since 2021).

About Lifebridge Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEBRIDGE MEDICAL LLC (NPI 1003589706) is a healthcare organization registered as a pain medicine in Oklahoma City, Oklahoma and active in the NPI registry since July 2021. The organization lists Lee Mac Germany, Physician Assistant Ceo, as its authorized official.

NPPES Registry Identity

NPI1003589706
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameLIFEBRIDGE MEDICAL LLC
Location Address1211 N SHARTEL AVE STE 801Oklahoma City, OK 73103-2425
Mailing Address14433 Locust StPiedmont, OK 73078-8910 · (405) 488-7543
Organization SubpartNo
Authorized OfficialLee Mac GermanyPhysician Assistant Ceo · (405) 504-5433
Enumeration DateJuly 28, 2021
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1003589706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1211 N SHARTEL AVE STE 801, Oklahoma City, OK 73103

Other Identifiers 1

Medicaid1770740680OK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103
Family Medicine
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103
Clinic/Center (Primary Care)
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103
Family Medicine
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103
Physical Therapist (Orthopedic)
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK 73103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifebridge Medical LLC's NPI number?

The NPI number for Lifebridge Medical LLC is 1003589706. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Lifebridge Medical LLC located?

Lifebridge Medical LLC is located at 1211 N Shartel Ave Ste 801, Oklahoma City, OK 73103. The listed phone number is (405) 504-5433.

What is Lifebridge Medical LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

When was this NPI record last updated?

The NPPES record for Lifebridge Medical LLC was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.