Privia Medical Group, LLC
NPI 1104688290ActiveOrganization· Family Medicine· Brunswick, MD
Family Medicine in Brunswick, Maryland, registered in NPPES in January 2024. The authorized official on file is Brianna Foulkrod, Avp Cred And Enrollment.
Overview
| NPI | 1104688290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2024 |
| Last updated in NPPES | Apr 18, 2026 |
| Certified by provider | Apr 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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