Lifebridge Community Pediatrics, LLC
NPI 1629495528ActiveOrganization· Pediatrics· Towson, MD
Pediatrics in Towson, Maryland, registered in NPPES in March 2014. The authorized official on file is Mary Wright-Sisk, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629495528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2014 |
| Last updated in NPPES | Oct 23, 2026 |
| Certified by provider | Oct 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
Other Pediatrics providers in Towson
- 1790129054
- 1861830374
- 1467243782
- 1174645428
- 1154955862
- 1558371468
- 1013830637
- 1073432860
- 1033932322
- 1326874108
- 1417789710
- 1619310067