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 1265234041

Lifebridge Community Gastroenterology, LLC is a Gastroenterology Physician in Ellicott City, 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

4801 Dorsey Hall Dr Ste 220
Ellicott City, MD 21042-7749
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 number1265234041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Lifebridge Community Gastroenterology Llc At Dorsey Hall
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address4801 Dorsey Hall Dr Ste 220, Ellicott City, MD 21042-7749

Other providers in Ellicott City