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Contact Information

PRIVIA MEDICAL GROUP, LLC
11119 ROCKVILLE PIKE STE 500
ROCKVILLE, MD20852-3157
 Phone: 240-630-2188
 Fax: 301-603-2294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PRIVIA MEDICAL GROUP, LLC

NPI # 1811715436
LBN Legal business name PRIVIA MEDICAL GROUP, LLC
Authorized official BRIANNA FOULKROD - (AVP)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2024
Last updated 01/27/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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