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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
6100 EXECUTIVE BLVD, SUITE 300, BETHESDA, MD 20817
(301) 530-2800
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207R00000X
Internal Medicine Physician
Primary
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207RS0010X
Sports Medicine (Internal Medicine) Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
07/01/2024
Last updated
04/18/2026
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