NPI 1174386494

Privia Medical Group, LLC

Organisation Pain Medicine Physician Frederick, MD

Practice location

Address: 64 Thomas Johnson Dr STE 315, Frederick, MD 21702-4739
Phone: (240) 651-3965
Mailing address: 950 N Glebe Rd STE 700, Arlington, VA 22203-4173

Authorised official

Name: Brianna Foulkrod
Title: Avp Cred and Enrollment
Phone: (571) 650-2710

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Maryland →

Registry record

NPI: 1174386494
Entity type: Organization
NPI issued: 31 Jan 2024
Record last updated: 18 Apr 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.