LIFEBRIDGE SURGICAL SERVICES
NPI 1255702338
Family Medicine in Randallstown, MD

Active since October 14, 2015
5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 521-2200 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2021, Nov 19, 2015 (2 updates tracked since 2015).

About Lifebridge Surgical Services NPPES

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

LIFEBRIDGE SURGICAL SERVICES (NPI 1255702338) is a healthcare organization registered as a family medicine in Randallstown, Maryland and active in the NPI registry since October 2015. The organization lists Mary R Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1255702338
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS, INC
Location Address5401 OLD COURT RDRandallstown, MD 21133-5103
Mailing Address5401 Old Court RdRandallstown, MD 21133-5103 · (410) 521-2200
Organization SubpartNo
Authorized OfficialMary R Wright-siskDirector · (443) 422-9941
Enumeration DateOctober 14, 2015
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1255702338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · H68214
Definition
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.
5401 OLD COURT RD, Randallstown, MD 21133

Other Names 1

Doing Business AsLifebridge Surgical Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifebridge Surgical Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

316

Medicare enrollment records show 316 clinicians reassign Medicare billing to Lifebridge Surgical Services, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 136 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner88
Internal Medicine53
Diagnostic Radiology52
Critical Care (Intensivists)32
Family Practice25
Pediatric Medicine15
Cardiovascular Disease (Cardiology)12
Pulmonary Disease8
16 other specialties31

Nearest to this location (20)

See all 316
Nurse Practitioner
NPI 1801564745
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2200
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1346233624
5401 OLD COURT RD
Randallstown, MD 21133
(410) 701-4502
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1245525203
5401 OLD COURT RD STE 350
Randallstown, MD 21133
(410) 701-4515
✔ PECOSSame address
Critical Care (Intensivists)
NPI 1306089958
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-5680
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1619187408
5401 OLD COURT RD
Randallstown, MD 21133
(410) 701-4560
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1417272964
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-5973
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043668569
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366011298
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2202
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1134741093
5401 OLD COURT RD
Randallstown, MD 21133
(410) 701-4555
✔ PECOSSame address
Internal Medicine
NPI 1376504027
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861622318
5400 OLD COURT RD STE 300B
Randallstown, MD 21133
(410) 521-7337
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1316945652
8600 LIBERTY RD FL 2
Randallstown, MD 21133
(410) 521-4211
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1023839800
7131 LIBERTY RD STE 100
Gwynn Oak, MD 21207
(443) 200-5338
✔ PECOS✔ Accepts Medicare2.5 mi
General Surgery
NPI 1689069692
1700 REISTERSTOWN RD STE 102
Pikesville, MD 21208
(410) 469-5555
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1003296245
23 CROSSROADS DR STE 340
Owings Mills, MD 21117
(410) 653-0366
✔ PECOS✔ Accepts Medicare3.2 mi
Cardiovascular Disease (Cardiology)
NPI 1316940794
1838 GREENE TREE RD STE 535
Baltimore, MD 21208
(410) 469-4000
✔ PECOS3.3 mi
Cardiac Electrophysiology
NPI 1740274414
1838 GREENE TREE RD SUITE 535
Baltimore, MD 21208
(410) 469-4000
✔ PECOS✔ Accepts Medicare3.3 mi
Critical Care (Intensivists)
NPI 1306931027
1838 GREENE TREE RD 420
Baltimore, MD 21208
(410) 484-9595
✔ PECOS✔ Accepts Medicare3.3 mi
Internal Medicine
NPI 1770677114
1838 GREENE TREE RD SUITE 300
Pikesville, MD 21208
(410) 653-0366
✔ PECOS3.3 mi
Preventive Medicine
NPI 1386823904
1838 GREENE TREE RD STE 300
Pikesville, MD 21208
(410) 653-0366
✔ PECOS3.3 mi
See all 316 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1255702338. It was assigned to this organization in the NPPES registry on October 14, 2015. The provider is doing business as Lifebridge Surgical Services.

Where is Lifebridge Community Physicians, Inc located?

Lifebridge Community Physicians, Inc is located at 5401 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 521-2200.

What is Lifebridge Community Physicians, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lifebridge Community Physicians, Inc enrolled in Medicare?

Yes. Lifebridge Community Physicians, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifebridge Community Physicians, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 316 clinicians in 24 Medicare specialties reassign their Medicare billing to Lifebridge Community Physicians, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (88), Internal Medicine (53) and Diagnostic Radiology (52). Of these, 10 practice at this address and 136 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifebridge Community Physicians, Inc was last updated on August 27, 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.