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

Privia Medical Group, LLC

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1083477319

Privia Medical Group, LLC provides Neurology with Special Qualifications in Child Neurology Physician services in Bethesda, Maryland. Registered with an NPI since 2024.

In the registry since
2024
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

4416 E West Hwy Ste 201
Bethesda, MD 20814-4572
Phone: (301) 652-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X

Record details

NPI number1083477319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp Cred And Enrollment · (571) 650-2710
NPI enumeratedJanuary 31, 2024
Last updated in NPPESApril 18, 2026
Certification dateApril 18, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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