Privia Medical Group, LLC
Organization Active NPI Neurological Surgery Physician · Frederick, MD
NPI 1831944503 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1831944503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- PRIVIA MEDICAL GROUP, LLC
- Practice address
- 198 Thomas Johnson Dr Ste 16
Frederick, MD 21702-4451 - Phone
- (240) 406-4620
- NPI assigned
- Apr 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Brianna Foulkrod
- Title
- Avp
- Phone
- (571) 650-2710
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Privia Medical Group LLC
Locations
198 Thomas Johnson Dr
Ste 16
Frederick, MD 21702
Phone (240) 406-4620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes |
Addresses
Primary practice location
198 Thomas Johnson Dr Ste 16
Frederick, MD 21702-4451
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (571) 982-6636
NPI Registry JSON
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1831944503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N GLEBE RD STE 700",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222034173",
"telephone_number": "571-982-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR STE 16",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024451",
"telephone_number": "240-406-4620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVIA MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "FOULKROD",
"authorized_official_first_name": "BRIANNA",
"authorized_official_title_or_position": "AVP",
"authorized_official_telephone_number": "571-650-2710"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.