NPI 1063207330

Privia Medical Group, LLC

Organisation Pain Medicine Physician Frederick, MD

Practice location

Address: 198 Thomas Johnson Dr STE 17, Frederick, MD 21702-4451
Phone: (240) 453-9182
Mailing address: 950 N Glebe Rd STE 700, Arlington, VA 22203-4173

Authorised official

Name: Brianna Foulkrod
Title: Authorized Official
Phone: (571) 650-2710

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Maryland →

Registry record

NPI: 1063207330
Entity type: Organization
NPI issued: 9 Apr 2025
Record last updated: 8 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.