Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group, LLC

Organization Pain Medicine Physician · NPI 1063207330

Privia Medical Group, LLC provides Pain Medicine Physician services in Frederick, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

198 Thomas Johnson Dr Ste 17
Frederick, MD 21702-4451
Phone: (240) 453-9182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1063207330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Authorized Official · (571) 650-2710
NPI enumeratedApril 9, 2025
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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