NPIMap

Organization Active NPI

Lifebridge Community Physicians Inc

  • Gastroenterology Physician
  • Lanham, MD
National Provider Identifier
1962202028
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Practice address
9821 Greenbelt Rd Ste 103
Lanham, MD 20706-6240
Phone
(410) 730-1000
Fax
(410) 730-2266
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

9821 Greenbelt Rd Ste 103
Lanham, MD 20706-6240

Mailing address

9821 Greenbelt Rd Ste 103
Lanham, MD 20706-6240
Phone (410) 730-1000

Other names 1

  • LifeBridge Suburban Physicians group LLC D/B/A Dr. Russell Schub at Greenbelt Other name

National Provider Directory

National Provider Directory
Tax ID family
Lifebridge Community Physicians Inc148 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

9821 Greenbelt Rd
Ste 103
Lanham, MD 20706
Phone (301) 552-1801

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1962202028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066240",
            "telephone_number": "410-730-1000",
            "fax_number": "410-730-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066240",
            "telephone_number": "410-730-1000",
            "fax_number": "410-730-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "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": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeBridge Suburban Physicians group LLC D/B/A Dr. Russell Schub at Greenbelt",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.