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

Lifebridge Community Physicians Inc

Organization Pediatrics Physician · NPI 1295535235

Lifebridge Community Physicians Inc is a Pediatrics Physician in Baltimore, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone: (410) 583-6800
Fax: (410) 583-5259
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1295535235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Drs. Gouel, Blotney And Sullivan At Belvedere
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address2401 W Belvedere Ave, Baltimore, MD 21215-5216

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