PRIVIA MEDICAL GROUP, LLC – NPI #1811715436
Psychiatry & Neurology

A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

PRIVIA MEDICAL GROUP, LLC is a psychiatry & neurologist located in ROCKVILLE, MD. NPPES has assigned the NPI number 1811715436 to PRIVIA MEDICAL GROUP, LLC on October 02, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P2900X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Pain Medicine

The NPI profile was last updated on Jan 27, 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
1811715436
Enumeration Date

(about 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
11119 ROCKVILLE PIKE STE 500
ROCKVILLE, MD 20852-3157
Phone: (240) 630-2188 Fax: (301) 603-2294
Mailing address
950 N GLEBE RD STE 700
ARLINGTON, VA 22203-4173
Phone: (484) 228-1065 Fax:
Organization Subpart
No
Authorized Official
BRIANNA FOULKROD
AVP
Phone: (571) 650-2710
Updated
Certification Date
Jan 27, 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
2084P2900X
- Psychiatry & Neurology / Pain Medicine (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.