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LIFEBRIDGE COMMUNITY PHYSICIANS, INC
NPI 1588093652
Family Medicine in Randallstown, MD

Active since November 08, 2013
5400 OLD COURT RD STE 300B, RANDALLSTOWN, MD 21133(410) 521-7337(410) 521-7377 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Jan 4, 2022, Oct 20, 2021 and 1 more (4 updates tracked since 2021).

About Lifebridge Community Physicians, Inc NPPES

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

LIFEBRIDGE COMMUNITY PHYSICIANS, INC (NPI 1588093652) is a healthcare organization registered as a family medicine in Randallstown, Maryland and active in the NPI registry since November 2013. The organization lists Mary Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1588093652
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS, INC
Location Address5400 OLD COURT RD STE 300BRandallstown, MD 21133-5126
Mailing Address5400 Old Court Rd Ste 300bRandallstown, MD 21133-5126 · (410) 521-7337 · Fax (410) 521-7377
Phone(410) 521-7337
Fax(410) 521-7377
Organization SubpartNo
Authorized OfficialMary Wright-siskDirector · (443) 422-9941
Enumeration DateNovember 8, 2013
Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1588093652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
5400 OLD COURT RD STE 300B, Randallstown, MD 21133
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Other Names 1

Other NamePotomac Professionals

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
Pediatrics (Adolescent Medicine)
5400 OLD COURT RD STE 300B
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-7337
SINAI HOSPITAL OF BALTIMORE INC
Pediatrics
5400 OLD COURT RD STE 300B
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-7337
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Family Medicine
5400 OLD COURT RD STE 300B
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-7377
DR. JACALYN CECELIA BLACKWELL-WHITE M.D.
Pediatrics (Adolescent Medicine)
5400 OLD COURT RD STE 300B
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-7337
MRS. BARNITTA LATRICIA MOSES CPNP
Nurse Practitioner (Pediatrics)
5400 OLD COURT RD STE 300B
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-7337

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 1588093652. It was assigned to this organization in the NPPES registry on November 8, 2013. The provider is also known as Potomac Professionals.

Where is Lifebridge Community Physicians, Inc located?

Lifebridge Community Physicians, Inc is located at 5400 Old Court Rd Ste 300B, Randallstown, MD 21133. The listed phone number is (410) 521-7337.

What is Lifebridge Community Physicians, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifebridge Community Physicians, Inc was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.