LIFEBRIDGE HEALTH PRIMARY CARE AT LIBERTY ROAD
NPI 1912364076
Internal Medicine in Randallstown, MD

Active since January 20, 2016
8600 LIBERTY RD, RANDALLSTOWN, MD 21133(410) 521-4211(410) 521-0627 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Aug 27, 2021, Jun 25, 2016 and 1 more (4 updates tracked since 2016).

About Lifebridge Health Primary Care At Liberty Road NPPES

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

LIFEBRIDGE HEALTH PRIMARY CARE AT LIBERTY ROAD (NPI 1912364076) is a healthcare organization registered as an internal medicine in Randallstown, Maryland and active in the NPI registry since January 2016. The organization lists Mary R Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1912364076
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Location Address8600 LIBERTY RDRandallstown, MD 21133-4707
Mailing Address8600 Liberty RdRandallstown, MD 21133-4707 · (410) 521-4211 · Fax (410) 521-0627
Fax(410) 521-0627
Organization SubpartNo
Authorized OfficialMary R Wright-siskDirector · (443) 422-9941
Enumeration DateJanuary 20, 2016
Last NPPES UpdateAugust 21, 20244 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1912364076 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.
8600 LIBERTY RD, Randallstown, MD 21133

Other Names 1

Other NameLifebridge Health Primary Care At Liberty Road

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 Health Primary Care At Liberty Road 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 Health Primary Care At Liberty Road, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 139 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
Internal Medicine
NPI 1316945652
8600 LIBERTY RD FL 2
Randallstown, MD 21133
(410) 521-4211
✔ PECOSSame address
Nurse Practitioner
NPI 1801564745
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2200
✔ PECOS✔ Accepts Medicare0.3 mi
Critical Care (Intensivists)
NPI 1346233624
5401 OLD COURT RD
Randallstown, MD 21133
(410) 701-4502
✔ PECOS✔ Accepts Medicare0.3 mi
Critical Care (Intensivists)
NPI 1245525203
5401 OLD COURT RD STE 350
Randallstown, MD 21133
(410) 701-4515
✔ PECOS0.3 mi
Critical Care (Intensivists)
NPI 1306089958
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-5680
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1619187408
5401 OLD COURT RD
Randallstown, MD 21133
(410) 701-4560
✔ PECOS✔ Accepts Medicare0.3 mi
Critical Care (Intensivists)
NPI 1417272964
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-5973
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1043668569
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2200
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1366011298
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2202
✔ PECOS✔ Accepts Medicare0.3 mi
Critical Care (Intensivists)
NPI 1134741093
5401 OLD COURT RD
Randallstown, MD 21133
(410) 701-4555
✔ PECOS0.3 mi
Internal Medicine
NPI 1376504027
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2200
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1861622318
5400 OLD COURT RD STE 300B
Randallstown, MD 21133
(410) 521-7337
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1023839800
7131 LIBERTY RD STE 100
Gwynn Oak, MD 21207
(443) 200-5338
✔ PECOS✔ Accepts Medicare2.4 mi
General Surgery
NPI 1689069692
1700 REISTERSTOWN RD STE 102
Pikesville, MD 21208
(410) 469-5555
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1003296245
23 CROSSROADS DR STE 340
Owings Mills, MD 21117
(410) 653-0366
✔ PECOS✔ Accepts Medicare2.9 mi
Cardiovascular Disease (Cardiology)
NPI 1316940794
1838 GREENE TREE RD STE 535
Baltimore, MD 21208
(410) 469-4000
✔ PECOS3.0 mi
Cardiac Electrophysiology
NPI 1740274414
1838 GREENE TREE RD SUITE 535
Baltimore, MD 21208
(410) 469-4000
✔ PECOS✔ Accepts Medicare3.0 mi
Critical Care (Intensivists)
NPI 1306931027
1838 GREENE TREE RD 420
Baltimore, MD 21208
(410) 484-9595
✔ PECOS✔ Accepts Medicare3.0 mi
Internal Medicine
NPI 1770677114
1838 GREENE TREE RD SUITE 300
Pikesville, MD 21208
(410) 653-0366
✔ PECOS3.0 mi
Preventive Medicine
NPI 1386823904
1838 GREENE TREE RD STE 300
Pikesville, MD 21208
(410) 653-0366
✔ PECOS3.0 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 1912364076. It was assigned to this organization in the NPPES registry on January 20, 2016. The provider is also known as Lifebridge Health Primary Care At Liberty Road.

Where is Lifebridge Community Physicians, Inc. located?

Lifebridge Community Physicians, Inc. is located at 8600 Liberty Rd, Randallstown, MD 21133. The listed phone number is (410) 521-4211.

What is Lifebridge Community Physicians, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 139 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 August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.