LIFEBRIDGE COMMUNITY PHYSICIAN
NPI 1730420811
Physician Assistant - Medical in Hampstead, MD

Q: What is Carroll Medical Group's NPI number?

The NPI number for Carroll Medical Group is 1730420811. It was assigned to this organization in the NPPES registry on March 14, 2013. The provider is doing business as Lifebridge Community Physician.

Q: What is Carroll Medical Group's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since March 14, 2013

4231 N WOODS TRL, HAMPSTEAD, MD 21074(410) 374-9391(410) 374-1866 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lifebridge Community Physician NPPES

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

LIFEBRIDGE COMMUNITY PHYSICIAN (NPI 1730420811) is a healthcare organization registered as a medical in Hampstead, Maryland and active in the NPI registry since March 2013. The organization lists Karen Ann Barrett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730420811

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameCARROLL MEDICAL GROUP

Location Address4231 N WOODS TRLHampstead, MD 21074-3128

Mailing Address4231 N Woods TrlHampstead, MD 21074-3128 · (410) 374-9391 · Fax (410) 374-1866

Phone(410) 374-9391

Fax(410) 374-1866

Organization SubpartNo

Authorized OfficialKaren Ann BarrettOffice Manager · (410) 374-9391

Enumeration DateMarch 14, 2013

✔ NPI 1730420811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MD · C0005012

4231 N WOODS TRL, Hampstead, MD 21074

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Other Names 1

Doing Business AsLifebridge Community Physician

Other Identifiers 1

OtherC0005012MD · License

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 9

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

DR. GREG MARK BOOTH MD PHD

Internal Medicine