# PRIVIA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639891880
- **Authorized official:** BRIANNA FOULKROD (AVP CRED AND ENROLLMENT)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 10750 COLUMBIA PIKE, SILVER SPRING, MD 20901-4402
- **Practice address phone:** (410) 304-3413
- **Practice address fax:** (410) 304-3412
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
- **Mailing address phone:** (571) 982-6636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 04/18/2026