NPIMap

Organization Active NPI

Lifebridge Community Physicians Inc.

Doing business as LifeBridge Suburban Physician Group, LLC DBA Yaniv Berger, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1972968519
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS INC.
Doing business as
LifeBridge Suburban Physician Group, LLC DBA Yaniv Berger, MD
Practice address
2700 Quarry Lake Dr Ste 280
Baltimore, MD 21209-3769
Phone
(410) 469-5544
Fax
(410) 585-2867
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mrs. Mary Wright-Sisk
Title
Director of Physician Enterprise
Phone
(443) 422-9941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2700 Quarry Lake Dr Ste 280
Baltimore, MD 21209-3769

Mailing address

2700 Quarry Lake Dr Ste 280
Baltimore, MD 21209-3769
Phone (410) 469-5544

Other names 1

  • LifeBridge Suburban Physician Group, LLC DBA Yaniv Berger, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110627000318 MD Part B Supplier - Clinic/Group Practice 3678751468 Receives reassigned benefits from 358 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
DRS Gouel and Blotny148 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1972968519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 280",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093769",
            "telephone_number": "410-469-5544",
            "fax_number": "410-585-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 280",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093769",
            "telephone_number": "410-469-5544",
            "fax_number": "410-585-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-SISK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN ENTERPRISE",
        "authorized_official_telephone_number": "443-422-9941",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeBridge Suburban Physician Group, LLC DBA Yaniv Berger, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeBridge Suburban Physician Group, LLC DBA Yaniv Berger, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.