PRIVIA MEDICAL GROUP, LLC
NPI 1902691272
Emergency Medicine in Glenn Dale, MD

Active since April 09, 2025
12150 ANNAPOLIS RD STE 212, GLENN DALE, MD 20769(310) 337-2004 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Apr 9, 2025 (2 updates tracked since 2025).

About Privia Medical Group, Llc NPPES

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

PRIVIA MEDICAL GROUP, LLC (NPI 1902691272) is a healthcare organization registered as an emergency medicine in Glenn Dale, Maryland and active in the NPI registry since April 2025. The organization lists Brianna Foulkrod, Avp, as its authorized official.

NPPES Registry Identity

NPI1902691272
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePRIVIA MEDICAL GROUP, LLC
Location Address12150 ANNAPOLIS RD STE 212Glenn Dale, MD 20769-9183
Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173
Organization SubpartNo
Authorized OfficialBrianna FoulkrodAvp · (571) 650-2710
Enumeration DateApril 9, 2025
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1902691272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
12150 ANNAPOLIS RD STE 212, Glenn Dale, MD 20769

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

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

Family Medicine
12150 ANNAPOLIS RD STE 212
GLENN DALE, MD 20769

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 1902691272. It was assigned to this organization in the NPPES registry on April 9, 2025.

Where is Privia Medical Group, LLC located?

Privia Medical Group, LLC is located at 12150 Annapolis Rd Ste 212, Glenn Dale, MD 20769. The listed phone number is (310) 337-2004.

What is Privia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group, LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.