NPIMap

Organization Active NPI

Lifebridge Community Pulmonology, LLC

  • Pulmonary Disease Physician
  • Westminster, MD
National Provider Identifier
1699578013
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LIFEBRIDGE COMMUNITY PULMONOLOGY, LLC
Practice address
1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone
(410) 484-5686
Fax
(410) 484-6472
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Mary Rebecca Wright-Sisk
Title
Director
Phone
(443) 422-9941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

1011 Baltimore Blvd
Westminster, MD 21157-7055

Mailing address

1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 484-5686

Other names 1

  • Lung & Sleep Center of MD at Westminster Other name

National Provider Directory

National Provider Directory
Tax ID family
Lifebridge Community Pulmonology LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1699578013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BALTIMORE BLVD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577055",
            "telephone_number": "410-484-5686",
            "fax_number": "410-484-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BALTIMORE BLVD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577055",
            "telephone_number": "410-484-5686",
            "fax_number": "410-484-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PULMONOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "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": "443-422-9941"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lung & Sleep Center of MD at Westminster",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.