# PRIVIA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro Orthopedics and Sports Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649047762
- **Authorized official:** BRIANNA FOULKROD (AVP CRED AND ENROLLMENT)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 7811 MONTROSE RD STE 340, POTOMAC, MD 20854-3359
- **Practice address phone:** (301) 588-7888
- **Practice address fax:** (301) 588-3419
- **Mailing address:** PO BOX 13050, BELFAST, ME 04915-4021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2023
- **Last updated:** 04/18/2026
