# PRIVIA MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1972327401
- **Authorized official:** BRIANNA FOULKROD (AVP)
- **Authorized official phone:** (571) 650-2710

## Contact information

- **Practice address:** 46 W GUDE DR, ROCKVILLE, MD 20850-1150
- **Practice address phone:** (301) 424-6901
- **Mailing address:** 950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
- **Mailing address phone:** (484) 228-1065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2024
- **Last updated:** 07/07/2026