Lifebridge Community Practice

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

LIFEBRIDGE COMMUNITY PRACTICE

Practice address

750 Main St
Ste. 202
Reisterstown, MD 21136-2515

Phone

(410) 526-3048

Fax

(410) 526-3062

NPI assigned

Apr 9, 2014

Organization subpart

No

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

Authorized official

Name

Grayson Michael Foster

Title

Coo

Phone

(410) 296-5300

Specialties & licenses 1

Addresses

Other names 1

• Clinical Associates Specialist Doing business as

Tax ID family

Lifebridge Investments2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lifebridge Investments

  • Optometrist
  • Reisterstown, MD
  • NPI 1174856645
  NPD tax ID

Locations

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1730508441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "STE. 202",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-3048",
            "fax_number": "410-526-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "STE. 202",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-3048",
            "fax_number": "410-526-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-296-5300"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Associates Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Levin Eye Care Partners, LLC
• Claudio Ariel Levin, M.D.
• Mary Ann C. Ley, DC
• Beth Grubb Li, L.AC.
• Lori Lickstein, LGSW
• Lifebridge Investments
• Lifebridge Sports Medicine & Rehabilitation, LLC
• Lifebridge Sports Medicine and Rehabilitation LLC
• Howard Mark Lipman, DC
• Therese Ann Litofsky, PT

• Audiologist in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.