Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA FOULKROD (AVP CRED AND ENROLLMENT)
(571) 650-2710
Entity
Organization
Contact information
Practice address
501 N FREDERICK AVE STE 302, GAITHERSBURG, MD 20877-2507
(301) 591-8261
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
01/29/2024
Last updated
04/18/2026
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