PRIVIA MEDICAL GROUP, LLC
NPI 1083477319
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Bethesda, MD

Active since January 31, 2024
4416 E WEST HWY STE 201, BETHESDA, MD 20814(301) 652-6800 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Privia Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIVIA MEDICAL GROUP, LLC (NPI 1083477319) is a healthcare organization registered as a neurology with special qualifications in child neurology in Bethesda, Maryland and active in the NPI registry since January 2024. The organization lists Brianna Foulkrod, Avp Cred And Enrollment, as its authorized official.

NPPES Registry Identity

NPI1083477319
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address4416 E WEST HWY STE 201Bethesda, MD 20814-4572
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp Cred And Enrollment · (571) 650-2710
Enumeration DateJanuary 31, 2024
Last NPPES UpdateApril 18, 2026
NPPES CertifiedApril 18, 2026
NPI 1083477319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

4416 E WEST HWY STE 201, Bethesda, MD 20814

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
4416 E WEST HWY STE 201
BETHESDA, MD 20814
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4416 E WEST HWY STE 201
BETHESDA, MD 20814
Clinical Neuropsychologist
4416 E WEST HWY STE 201
BETHESDA, MD 20814
Clinical Neuropsychologist
4416 E WEST HWY STE 201
BETHESDA, MD 20814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privia Medical Group, LLC's NPI number?

The NPI number for Privia Medical Group, LLC is 1083477319. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 4416 E West Hwy Ste 201, Bethesda, MD 20814. The listed phone number is (301) 652-6800.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on April 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.