NPIMap

Organization Active NPI

Lifebridge Community Physicians Inc

  • Otolaryngology Physician
  • Frederick, MD
National Provider Identifier
1073401972
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Practice address
4991 New Design Rd Ste 103
Frederick, MD 21703-7342
Phone
(443) 289-3459
Fax
(443) 289-3488
NPI assigned
Jun 27, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mary Rebecca Wright-Sisk
Title
Director
Phone
(434) 229-9414

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Lifebridge Community Physicians Inc (148 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4991 New Design Rd Ste 103
Frederick, MD 21703-7342

Mailing address

4991 New Design Rd Ste 103
Frederick, MD 21703-7342
Phone (443) 289-3459

Other names 1

NPPES NPI Registry
  • LifeBridge Health ENT, Sinus & Allergy Center at New Design Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2025.

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1073401972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 NEW DESIGN RD STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037342",
            "telephone_number": "443-289-3459",
            "fax_number": "443-289-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 NEW DESIGN RD STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037342",
            "telephone_number": "443-289-3459",
            "fax_number": "443-289-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-SISK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-229-9414"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeBridge Health ENT, Sinus & Allergy Center at New Design",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.