PRIVIA MEDICAL GROUP, LLC – NPI #1649047762
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

PRIVIA MEDICAL GROUP, LLC is an orthopaedic surgeon located in POTOMAC, MD. NPPES has assigned the NPI number 1649047762 to PRIVIA MEDICAL GROUP, LLC on December 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was last updated on Apr 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIVIA MEDICAL GROUP, LLC below.

NPI Profile for
PRIVIA MEDICAL GROUP, LLC

NPI Number
1649047762
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVIA MEDICAL GROUP, LLC
Primary location
7811 MONTROSE RD STE 340
POTOMAC, MD 20854-3359
Phone: (301) 588-7888 Fax: (301) 588-3419
Mailing address
PO BOX 13050
BELFAST, ME 04915-4021
Phone: Fax:
Organization Subpart
No
Authorized Official
BRIANNA FOULKROD
AVP CRED AND ENROLLMENT
Phone: (571) 650-2710
Updated
Certification Date
Apr 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.