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

Privia Medical Group, LLC

Organization Allergy & Immunology Physician · NPI 1245169978

Privia Medical Group, LLC is an Allergy & Immunology Physician in Waldorf, Maryland. Registered with an NPI since 2026.

In the registry since
2026
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

11340 Pembrooke Sq Ste 213
Waldorf, MD 20603-4808
Phone: (301) 868-9313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X

Record details

NPI number1245169978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp, Cred & Enrollment · (571) 650-2710
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateApril 27, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173

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