Privia Medical Group, LLC

NPI #1063207330 in Frederick, Maryland

Provider Information

NPI Number: 1063207330
Entity Type: Organization
Organization Name: Privia Medical Group, LLC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Apr 9, 2025
Last Updated: Jan 27, 2026

Practice Location

Address: 198 THOMAS JOHNSON DR STE 17
City: Frederick
State: Maryland
ZIP Code: 21702-4451
Phone: (240) 453-9182

Authorized Official

Name: BRIANNA FOULKROD
Title: AUTHORIZED OFFICIAL
Phone: (571) 650-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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