OrganizationActive
Lifebridge Community Gastroenterology, LLC
NPI 1295537066 · Gastroenterology Physician · Baltimore, MD
Provider details
- NPI number
- 1295537066
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Wright-Sisk, Director(443) 422-9941
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2411 W Belvedere Ave Ste 308
Baltimore, MD 21215-5230
Phone: (410) 602-7782
Fax: (410) 602-9344
Street-level locationGet directions
Mailing address
2411 W Belvedere Ave Ste 308
Baltimore, MD 21215-5230
Other names (DBA / former)
- Other name
- Lifebridge Community Gastroenterology LLC at Belvedere
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.