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

Lifebridge Community Physicians Inc

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1508666306

Lifebridge Community Physicians Inc is a Sports Medicine (Orthopaedic Surgery) Physician in Randallstown, 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

5415 Old Court Rd
Randallstown, MD 21133-5170
Phone: (410) 601-7529
Fax: (667) 219-6290
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1508666306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Lifebridge Health Sports Medicine At Randallstown
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address5415 Old Court Rd, Randallstown, MD 21133-5170

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