Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifebridge Community Gastroenterology, LLC

Organization Gastroenterology Physician · NPI 1225830094

Lifebridge Community Gastroenterology, LLC is a Gastroenterology Physician in Glen Burnie, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

802 Landmark Dr Ste 129
Glen Burnie, MD 21061-9121
Phone: (410) 602-7782
Fax: (410) 602-9344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1225830094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Lifebridge Community Gastroenterology Llc At Landmark
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address802 Landmark Dr Ste 129, Glen Burnie, MD 21061-9121

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