# PRIVIA MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1770346983
- **Authorized official:** BRIANNA FOULKROD (AVP)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 7625 WISCONSIN AVE STE 101, BETHESDA, MD 20814-6564
- **Practice address phone:** (240) 497-1570
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 07/10/2026