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LIFEBRIDGE COMMUNITY PHYSICIANS INC
NPI 1477160984
Internal Medicine - Gastroenterology in Columbia, MD

Active since September 29, 2020
8875 CENTRE PARK DR STE D, COLUMBIA, MD 21045(410) 489-3020 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 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 1477160984), doing business as Lifebridge Suburban Physicians Group, Llc D/b/a Dr. Russell Schub, is a healthcare organization registered as a gastroenterology in Columbia, Maryland and active in the NPI registry since September 2020. The organization lists Mary Rebecca Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1477160984
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS INC
Location Address8875 CENTRE PARK DR STE DColumbia, MD 21045-2382
Mailing Address8875 Centre Park Dr Ste DColumbia, MD 21045-2382
Phone(410) 489-3020
Organization SubpartNo
Authorized OfficialMary Rebecca Wright-siskDirector · (410) 701-4439
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1477160984 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.
8875 CENTRE PARK DR STE D, Columbia, MD 21045
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Other Names 1

Doing Business AsLifebridge Suburban Physicians Group, Llc D/b/a Dr. Russell Schub

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 Community Physicians Inc 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 Community Physicians Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 48 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
Russell Schub, D.O.
Gastroenterology
NPI 1679583587
8875 CENTRE PARK DR SUITE D
Columbia, MD 21045
(410) 730-1000
✔ PECOSSame address
Pamela Quinlan, DO
Endocrinology
NPI 1619959913
5450 KNOLL NORTH DR STE 100
Columbia, MD 21045
(410) 601-1800
✔ PECOS✔ Accepts Medicare1.5 mi
Monique Husbands Onyeukwu, M.D.
Family Practice
NPI 1164743563
9501 OLD ANNAPOLIS RD
Ellicott City, MD 21042
(301) 621-6570
✔ PECOS✔ Accepts Medicare1.7 mi
Adejoke Sijuwade, CRNP-FAMILY
Nurse Practitioner
NPI 1811274632
5999 HARPERS FARM RD STE W230
Columbia, MD 21044
(240) 931-0658
✔ PECOS✔ Accepts Medicare3.6 mi
Dean Meadows, M.D.
Critical Care (Intensivists)
NPI 1922064427
10710 CHARTER DR SUITE 310
Columbia, MD 21044
(410) 997-5944
✔ PECOS✔ Accepts Medicare3.9 mi
Yetunde Adegoroye
Nurse Practitioner
NPI 1245884733
7067 COLUMBIA GATEWAY DR
Columbia, MD 21046
(443) 545-9217
✔ PECOS✔ Accepts Medicare3.9 mi
Atinuke Osundina, AGACNP-BC
Nurse Practitioner
NPI 1518502244
7215 SUGAR MAGNOLIA LN
Elkridge, MD 21075
(347) 445-4149
✔ PECOS✔ Accepts Medicare4.1 mi
Joy Ahanonu, CRNP
Nurse Practitioner
NPI 1588837090
4 W ROLLING CROSS RD STE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.5 mi
Mohammed Ahmed, M.D.
Family Practice
NPI 1851340319
4 W ROLLING XRDS STE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.5 mi
Doreen Bannerman, CRNP
Nurse Practitioner
NPI 1528763729
4 W ROLLING XRDS STE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.5 mi
Lynnette Brown, MD MPH
Internal Medicine
NPI 1508010539
4 W ROLLING CROSS RD STE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.5 mi
Shusma Karki, CRNP
Nurse Practitioner
NPI 1679022370
4 W ROLLING XRDS STE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.5 mi
Tahoora Kawaja, M.D.
Internal Medicine
NPI 1568574663
4 W ROLLING XRDS STE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.5 mi
Jovonsia Taylor, MD
Pediatric Medicine
NPI 1366518565
4 W ROLLING XRDS STE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.5 mi
Muthukrishnan Vasantha-Kumar, M.D.
Internal Medicine
NPI 1982671210
4 W ROLLING CROSS RD STE 100
Catonsville, MD 21228
(410) 889-0100
✔ PECOS4.5 mi
Benjamin Raucher, FNP
Nurse Practitioner
NPI 1578276689
4 WEST ROLLING CROSSROADS SUITE 100
Catonsville, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare4.9 mi
Ruchira Thakor, M.D.
Family Practice
NPI 1164455200
4 W ROLLING CROSSROADS SUITE 100
Baltimore, MD 21228
(410) 869-0100
✔ PECOS✔ Accepts Medicare5.3 mi
Mcneal Brockington, M.D.
Internal Medicine
NPI 1669405171
4 W ROLLING CROSSROADS SUITE 100
Baltimore, MD 21228
(410) 869-0100
✔ PECOS6.2 mi
Carol Reynolds-Freeman, M.D.
Pediatric Medicine
NPI 1841281706
4 W ROLLING CROSSROADS SUITE 100
Baltimore, MD 21228
(410) 869-0100
✔ PECOS6.2 mi
Zain Qazi, M.D.
Diagnostic Radiology
NPI 1700272358
6540 S TROTTER RD
Clarksville, MD 21029
(443) 718-9691
✔ PECOS✔ Accepts Medicare6.5 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 1477160984. It was assigned to this organization in the NPPES registry on September 29, 2020. The provider is doing business as LifeBridge Suburban Physicians group, Llc D/B/A Dr. Russell Schub.

Where is Lifebridge Community Physicians Inc located?

Lifebridge Community Physicians Inc is located at 8875 Centre Park Dr Ste D, Columbia, MD 21045. The listed phone number is (410) 489-3020.

What is Lifebridge Community Physicians Inc's specialty?

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

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, 1 practice at this address and 48 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 September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.