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LIFEBRIDGE COMMUNITY PHYSICIANS INC
NPI 1023818630
Internal Medicine - Cardiovascular Disease in Baltimore, MD

Active since March 14, 2025
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239(410) 933-4923(410) 933-8659 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Mar 14, 2025 (2 updates tracked since 2025).

About Lifebridge Community Physicians Inc NPPES

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

LIFEBRIDGE COMMUNITY PHYSICIANS INC (NPI 1023818630) is a healthcare organization registered as a cardiovascular disease in Baltimore, Maryland and active in the NPI registry since March 2025. The organization lists Mary Rebecca Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1023818630
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS INC
Location Address5601 LOCH RAVEN BLVDBaltimore, MD 21239-2950
Mailing Address5601 Loch Raven BlvdBaltimore, MD 21239-2950 · (410) 933-4923 · Fax (410) 933-8659
Phone(410) 933-4923
Fax(410) 933-8659
Organization SubpartNo
Authorized OfficialMary Rebecca Wright-siskDirector · (443) 422-9941
Enumeration DateMarch 14, 2025
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1023818630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5601 LOCH RAVEN BLVD, Baltimore, MD 21239
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Other Names 1

Other NameLifebridge Health Cardiology Of Baltimore Llc/dr. Jerald Insel At Loch Raven

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 20

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

JACQUELINE L. HOOVER P.A.-C
Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Baltimore City (443) 444-4730
DR. TIFFANI DANIELLE PITTMAN M.D.
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4863
DR. SUJAN THAPALIYA M.D.
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-0363
SHARAREH SHERRY BADRI M.D.
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100
ALAYNA MARIE BLAZAKIS CRNP
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4275
DR. ELIAS K SHAYA M.D.
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Baltimore City (410) 532-4540
CANDICE DIOR JORDAN M.D.
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-5655
SONJA STANTON RN BSN
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100

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 Community Physicians Inc's NPI number?

The NPI number for Lifebridge Community Physicians Inc is 1023818630. It was assigned to this organization in the NPPES registry on March 14, 2025. The provider is also known as LifeBridge Health Cardiology of Baltimore LLC/Dr. Jerald Insel at Loch Raven.

Where is Lifebridge Community Physicians Inc located?

Lifebridge Community Physicians Inc is located at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (410) 933-4923.

What is Lifebridge Community Physicians Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Lifebridge Community Physicians Inc was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.