OrganizationActive
Privia Medical Group, LLC
NPI 1093577751 · Pain Medicine Physician · Frederick, MD
Provider details
- NPI number
- 1093577751
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brianna Foulkrod, Avp Cred and Enrollment(571) 650-2710
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
196 Thomas Johnson Dr Ste 215
Frederick, MD 21702-4527
Phone: (301) 668-9988
Street-level locationGet directions
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2026-04-18
- Certified
- 2026-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.