PRIVIA MEDICAL GROUP, LLC – NPI #1972366219
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

PRIVIA MEDICAL GROUP, LLC is a psychiatry & neurologist located in BALTIMORE, MD. NPPES has assigned the NPI number 1972366219 to PRIVIA MEDICAL GROUP, LLC on January 31, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was last updated on May 08, 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
1972366219
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
5051 GREENSPRING AVE STE 200
BALTIMORE, MD 21209-4357
Phone: (410) 367-7600 Fax:
Mailing address
950 N GLEBE RD STE 700
ARLINGTON, VA 22203-4173
Phone: Fax:
Organization Subpart
No
Authorized Official
BRIANNA FOULKROD
AVP CRED AND ENROLLMENT
Phone: (571) 650-2710
Updated
Certification Date
May 08, 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
2084N0400X
- Psychiatry & Neurology / Neurology (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.