1. Home
  2. Directory
  3. Maryland
  4. Ellicott City
  5. Internal Medicine
  6. NPI Profile

LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
NPI 1265234041
Internal Medicine - Gastroenterology in Ellicott City, MD

Active since March 25, 2025
4801 DORSEY HALL DR STE 220, ELLICOTT CITY, MD 21042(410) 602-7782(410) 602-9344 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifebridge Community Gastroenterology, Llc NPPES

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

LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC (NPI 1265234041) is a healthcare organization registered as a gastroenterology in Ellicott City, 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

NPI1265234041
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
Location Address4801 DORSEY HALL DR STE 220Ellicott City, MD 21042-7749
Mailing Address4801 Dorsey Hall Dr Ste 220Ellicott City, MD 21042-7749 · (410) 602-7782 · Fax (410) 602-9344
Phone(410) 602-7782
Fax(410) 602-9344
Organization SubpartNo
Authorized OfficialMary Rebecca Wright-siskDirector · (443) 422-9941
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1265234041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4801 DORSEY HALL DR STE 220, Ellicott City, MD 21042
Open in Google Maps ↗

Other Names 1

Other NameLifebridge Community Gastroenterology Llc At Dorsey Hall

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

Other Providers at the Same Location NPPES

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

LIFEBRIDGE ORTHOPEDIC SPECIALISTS, LLC
Neurological Surgery
4801 DORSEY HALL DR STE 220
ELLICOTT CITY, MD 21042
Howard County (410) 601-4417

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 Gastroenterology, LLC's NPI number?

The NPI number for Lifebridge Community Gastroenterology, LLC is 1265234041. It was assigned to this organization in the NPPES registry on March 25, 2025. The provider is also known as LifeBridge Community Gastroenterology LLC at Dorsey Hall.

Where is Lifebridge Community Gastroenterology, LLC located?

Lifebridge Community Gastroenterology, LLC is located at 4801 Dorsey Hall Dr Ste 220, Ellicott City, MD 21042. The listed phone number is (410) 602-7782.

What is Lifebridge Community Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Lifebridge Community Gastroenterology, LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.