# LIFEBRIDGE COMMUNITY PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BW Primary Care, LLC - Foundry Row, BW Primary Care at Georgetown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366233611
- **Authorized official:** MARY REBECCA WRIGHT-SISK (DIRECTOR)
- **Authorized official phone:** (443) 422-9941

## Contact information

- **Practice address:** 10084 REISTERSTOWN RD STE 200A, OWINGS MILLS, MD 21117-4096
- **Practice address phone:** (410) 552-5050
- **Practice address fax:** (410) 356-7505
- **Mailing address:** 10084 REISTERSTOWN RD STE 200A, OWINGS MILLS, MD 21117-4096
- **Mailing address phone:** (410) 552-5050
- **Mailing address fax:** (410) 356-7505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/15/2025
- **Last updated:** 03/24/2026