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LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
NPI 1720880511
Internal Medicine - Gastroenterology in Baltimore, MD

Active since March 25, 2025
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(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: July 19, 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 1720880511) is a healthcare organization registered as a gastroenterology in Baltimore, 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

NPI1720880511
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameLIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (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 1720880511 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.

2401 W BELVEDERE AVE, Baltimore, MD 21215
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Other Names 1

Other NameLifebridge Community Gastroenterology Llc At Belvedere

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 20

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

DR. COLBY ALLYN MILLER PHARM.D.
Pharmacist (Pharmacotherapy)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-8882
STEVEN BLUESTEIN C.R.N.A.
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
WON CHA M.D.
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
CRAIG COPELIN C.R.N.A.
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
JOHN FAN M.D.
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
LIGUANG HUANG M.D.
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
JUPING BAO M.D.
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209
PILAR SHEARIN C.R.N.A.
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-5209

Frequently Asked Questions

What is LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1720880511, enumerated as an "organization" on March 25, 2025.

Where is the provider located?

The provider is located at 2401 W BELVEDERE AVE BALTIMORE, MD 21215 and the phone number is (410) 602-7782.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.