LIFEBRIDGE COMMUNITY PHYSICIANS, INC
NPI 1174815807
Internal Medicine - Cardiovascular Disease in Timonium, MD

NPI Status: Active since May 13, 2011

Contact Information

1205 YORK RD STE 30A
TIMONIUM, MD
ZIP 21093
Phone: (410) 469-4000
Fax: (410) 653-1296

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About LIFEBRIDGE COMMUNITY PHYSICIANS, INC

This page provides the complete NPI Profile along with additional information for Lifebridge Community Physicians, Inc, an internist established in Timonium, Maryland operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1174815807 assigned on May 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated July 2025. Lifebridge Community Physicians, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mr. Mary R Wright-sisk (Director)

NPI
1174815807
Provider Legal Name
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1205 YORK RD STE 30A TIMONIUM, MD 21093
Location Phone
(410) 469-4000
Location Fax
(410) 653-1296
Mailing Address
1205 YORK RD STE 30A TIMONIUM, MD 21093
Mailing Phone
(410) 469-4000
Mailing Fax
(410) 653-1296
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2011
Last Update Date
07-31-2025
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An internist like Lifebridge Community Physicians, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1838 Greene Tree Rd Suite 535
    Pikesville, MD 21208
    (410) 469-4000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
2207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARY R WRIGHT-SISK

Authorized Official Title
DIRECTOR
Authorized Official Phone
(443) 422-9941

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174815807
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441611080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 1 + 1 + 0 + 8 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1174815807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174815807, enumerated in the NPI registry as an "organization" on May 13, 2011

The provider is located at 1205 York Rd Ste 30a Timonium, Md 21093 and the phone number is (410) 469-4000

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

This NPI record was last updated on May 13, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.