# PRIVIA MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neurology, Headache & Pain Institute, Privia Medical Group,PLLC, Neurology, Headache & Pain Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689525651
- **Authorized official:** BRIANNA FOULKROD (AVP)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 121 CONGRESSIONAL LN STE 403, ROCKVILLE, MD 20852-1542
- **Practice address phone:** (240) 630-2188
- **Practice address fax:** (920) 273-3775
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | — | NULL | — |
| 111NN0400X | Neurology Chiropractor | — | — | — |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2026
- **Last updated:** 02/05/2026
