LIFEBRIDGE HEALTH MEDICAL GROUP
NPI 1346513538
Internal Medicine in Edgewood, MD

Active since February 17, 2012
1401 PULASKI HWY, SUITE M, EDGEWOOD, MD 21040(410) 671-9241(410) 671-9242 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2021, Jun 25, 2016 (2 updates tracked since 2016).

About Lifebridge Health Medical Group NPPES

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

LIFEBRIDGE HEALTH MEDICAL GROUP (NPI 1346513538) is a healthcare organization registered as an internal medicine in Edgewood, Maryland and active in the NPI registry since February 2012. The organization lists Mary R Wright-sisk, Vice President, as its authorized official.

NPPES Registry Identity

NPI1346513538
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS, INC
Location Address1401 PULASKI HWY, SUITE MEdgewood, MD 21040-1398
Mailing Address1401 Pulaski Hwy, Suite MEdgewood, MD 21040-1398 · (410) 671-9241 · Fax (410) 671-9242
Fax(410) 671-9242
Organization SubpartNo
Authorized OfficialMary R Wright-siskVice President · (443) 422-9941
Enumeration DateFebruary 17, 2012
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
NPI 1346513538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0068088
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1401 PULASKI HWY, Edgewood, MD 21040

Other Names 1

Doing Business AsLifebridge Health Medical Group

Other Identifiers 1

Medicaid970084600MD

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 5

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

Optometrist
1401 PULASKI HWY, SUITE W
EDGEWOOD, MD 21040
Internal Medicine (Gastroenterology)
1401 PULASKI HWY
EDGEWOOD, MD 21040
Obstetrics & Gynecology
1401 PULASKI HWY, SUITE M
EDGEWOOD, MD 21040
Optometrist
1401 PULASKI HWY
EDGEWOOD, MD 21040
Pharmacy (Community/Retail Pharmacy)
1401 PULASKI HWY, SUITE U
EDGEWOOD, MD 21040

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 1346513538. It was assigned to this organization in the NPPES registry on February 17, 2012. The provider is doing business as Lifebridge Health Medical Group.

Where is Lifebridge Community Physicians, Inc located?

Lifebridge Community Physicians, Inc is located at 1401 Pulaski Hwy Suite M, Edgewood, MD 21040. The listed phone number is (410) 671-9241.

What is Lifebridge Community Physicians, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 with the weekly NPPES data releases published by CMS.