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

Lifebridge Community Physicians Inc

Organization Gastroenterology Physician · NPI 1790585859

Lifebridge Community Physicians Inc is a Gastroenterology 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

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone: (410) 730-1000
Fax: (410) 730-2266
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 number1790585859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wright-Sisk — Director · (443) 422-9941
Other names Lifebridge Suburban Physicians Group Llc D/B/A Dr. Russell Schub At Old Court
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address5401 Old Court Rd, Randallstown, MD 21133-5103

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