OrganizationActive
Privia Medical Group, LLC
NPI 1710749478 · Pain Medicine Physician · Olney, MD
Provider details
- NPI number
- 1710749478
- 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
Allopathic & Osteopathic Physicians
Practice location
18111 Prince Philip Dr Ste 121
Olney, MD 20832-1503
Phone: (301) 591-8261
Approximate (ZIP-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.