Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP CREDENTIALING AND ENROLLMENT)
(571) 650-2710
Entity
Organization
Contact information
Practice address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 366-8850
(813) 315-6180
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 650-2710
(240) 696-1353
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
02/23/2007
Last updated
01/27/2026
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