LIFEBRIDGE MULTI-SPECIALTY, LLC
NPI 1972978625
Family Medicine in Westminster, MD

Active since December 07, 2015
41 MAGNA WAY, SUITE 100, WESTMINSTER, MD 21157(410) 751-6684(410) 751-2371 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lifebridge Multi-specialty, Llc NPPES

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

LIFEBRIDGE MULTI-SPECIALTY, LLC (NPI 1972978625) is a healthcare organization registered as a family medicine in Westminster, Maryland and active in the NPI registry since December 2015. The organization lists Mary R Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1972978625
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFEBRIDGE MULTI-SPECIALTY, LLC
Location Address41 MAGNA WAY, SUITE 100Westminster, MD 21157-3073
Mailing Address41 Magna Way, Suite 100Westminster, MD 21157-3073 · (410) 751-6684 · Fax (410) 751-2371
Fax(410) 751-2371
Organization SubpartNo
Authorized OfficialMary R Wright-siskDirector · (410) 701-4439
Enumeration DateDecember 7, 2015
✔ NPI 1972978625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
41 MAGNA WAY, Westminster, MD 21157

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

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 Multi-specialty, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifebridge Multi-Specialty, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1972568913
41 MAGNA WAY SUITE 100
Westminster, MD 21157
(410) 751-6684
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699730010
41 MAGNA WAY SUITE 100
Westminster, MD 21157
(410) 751-6684
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376316935
504 E RIDGEVILLE BLVD STE 110
Mount Airy, MD 21771
(301) 829-5906
✔ PECOS✔ Accepts Medicare19 mi

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 Multi-Specialty, LLC's NPI number?

The NPI number for Lifebridge Multi-Specialty, LLC is 1972978625. It was assigned to this organization in the NPPES registry on December 7, 2015.

Where is Lifebridge Multi-Specialty, LLC located?

Lifebridge Multi-Specialty, LLC is located at 41 Magna Way Suite 100, Westminster, MD 21157. The listed phone number is (410) 751-6684.

What is Lifebridge Multi-Specialty, LLC's specialty?

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

Is Lifebridge Multi-Specialty, LLC enrolled in Medicare?

Yes. Lifebridge Multi-Specialty, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifebridge Multi-Specialty, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lifebridge Multi-Specialty, LLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. 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 Multi-Specialty, LLC was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.