LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
NPI 1104617422
Pediatrics in Baltimore, MD

Active since May 15, 2025
6701 N CHARLES ST, BALTIMORE, MD 21204(410) 308-7865(410) 308-7818 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifebridge Suburban Physician Group Ii Llc NPPES

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

LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC (NPI 1104617422) is a healthcare organization registered as a pediatrics in Baltimore, Maryland and active in the NPI registry since May 2025. The organization lists Mary Rebecca Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1104617422
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
Location Address6701 N CHARLES STBaltimore, MD 21204-6808
Mailing Address6701 N Charles StBaltimore, MD 21204-6808 · (410) 308-7865 · Fax (410) 308-7818
Fax(410) 308-7818
Organization SubpartNo
Authorized OfficialMary Rebecca Wright-siskDirector · (443) 422-9941
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
NPI 1104617422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6701 N CHARLES ST, Baltimore, MD 21204

Other Names 1

Other NameDr. Gaurav Kumar At N Charles

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.

Physician Assistant
6701 N CHARLES ST, LABOR & DELIVERY
BALTIMORE, MD 21204
Anesthesiology
6701 N CHARLES ST
TOWSON, MD 21204
Internal Medicine (Hospice and Palliative Medicine)
6701 N CHARLES ST, SUITE 4105
BALTIMORE, MD 21204
Anesthesiology
6701 N CHARLES ST
TOWSON, MD 21204
Pathology (Anatomic Pathology & Clinical Pathology)
6701 N CHARLES ST
BALTIMORE, MD 21204
Pediatrics
6701 N CHARLES ST, DEPT OF PEDIATRICS
BALTIMORE, MD 21204
Pathology (Anatomic Pathology & Clinical Pathology)
6701 N CHARLES ST
BALTIMORE, MD 21204
Advanced Practice Midwife
6701 N CHARLES ST, DEPT OF LABOR AND DELIVERY
BALTIMORE, MD 21204

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 Suburban Physician Group II LLC's NPI number?

The NPI number for Lifebridge Suburban Physician Group II LLC is 1104617422. It was assigned to this organization in the NPPES registry on May 15, 2025. The provider is also known as Dr. Gaurav Kumar at N Charles.

Where is Lifebridge Suburban Physician Group II LLC located?

Lifebridge Suburban Physician Group II LLC is located at 6701 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 308-7865.

What is Lifebridge Suburban Physician Group II LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Lifebridge Suburban Physician Group II LLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.