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

Privia Medical Group, LLC

Organization Emergency Medicine Physician · NPI 1902691272

Privia Medical Group, LLC is an Emergency Medicine Physician in Glenn Dale, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

12150 Annapolis Rd Ste 212
Glenn Dale, MD 20769-9183
Phone: (310) 337-2004
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1902691272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brianna Foulkrod — Avp · (571) 650-2710
NPI enumeratedApril 9, 2025
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address950 N Glebe Rd Ste 700, Arlington, VA 22203-4173