LIFEBRIDGE COMMUNITY PHYSICIANS INC
NPI 1366242133
Internal Medicine in Randallstown, MD

Active since March 19, 2025
5412 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 902-0277(410) 902-0443 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifebridge Community Physicians Inc NPPES

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

LIFEBRIDGE COMMUNITY PHYSICIANS INC (NPI 1366242133) is a healthcare organization registered as an internal medicine in Randallstown, 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

NPI1366242133
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS INC
Location Address5412 OLD COURT RDRandallstown, MD 21133-5104
Mailing Address5412 Old Court RdRandallstown, MD 21133-5104 · (410) 902-0277 · Fax (410) 902-0443
Fax(410) 902-0443
Organization SubpartNo
Authorized OfficialMary Rebecca Wright-siskDirector · (443) 422-9941
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
NPI 1366242133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
5412 OLD COURT RD, Randallstown, MD 21133

Other Names 1

Other NameDr. Tahoora Kawaja At Old Court

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 14

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

Skilled Nursing Facility
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Skilled Nursing Facility
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Family Medicine (Hospice and Palliative Medicine)
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Occupational Therapist
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Occupational Therapist
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Physical Medicine & Rehabilitation
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Physical Therapy Assistant
5412 OLD COURT RD
RANDALLSTOWN, MD 21133
Nurse Practitioner (Psychiatric/Mental Health)
5412 OLD COURT RD
RANDALLSTOWN, MD 21133

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 1366242133. It was assigned to this organization in the NPPES registry on March 19, 2025. The provider is also known as Dr. Tahoora Kawaja at Old Court.

Where is Lifebridge Community Physicians Inc located?

Lifebridge Community Physicians Inc is located at 5412 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 902-0277.

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 March 19, 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.