Lifebridge Community Physicians, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Doing business as

Carol A Newill MD

Practice address

12221 Tullamore Rd # 3
Lutherville Timonium, MD 21093-7816

Phone

(410) 494-1884

Fax

(410) 308-7841

NPI assigned

Sep 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian Cawley

Title

Vice President

Phone

(410) 521-7572

Specialties & licenses 1

Addresses

Other names 1

• Carol A Newill MD Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey E Brauer, M.D.

  • Pulmonary Disease Physician
  • Baltimore, MD
  • NPI 1306931027
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1053662858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 TULLAMORE RD # 3",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-494-1884",
            "fax_number": "410-308-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 TULLAMORE RD # 3",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-494-1884",
            "fax_number": "410-308-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "CAWLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-521-7572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol A Newill MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Lay, PSYD
• Jane Lee, DDS
• Janice Bloom Levitt, M.S.
• Samuel Liebman, PHD
• Life Balance Psychiatric Services LLC
• Lifebridge Community Physicians, Inc
• Lifebridge Community Physicians, Inc
• Lifebridge Community Physicians, Inc
• Colleen Lindo, CRNP
• Lyfe Enriching Professional Services, LLC

• Internal Medicine Physician in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.