Organization · Type 2 NPI

Privia Medical Group, LLC

Neurological Surgery Physician · Frederick, MD

NPI number 1114788601 Active

Practice location

198 Thomas Johnson Dr Ste 17
Frederick, MD 21702-4451

Mailing address

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1114788601

Privia Medical Group, LLC's National Provider Identifier is 1114788601, issued on Jan 22, 2024. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Frederick, MD. The record was last updated on Jul 10, 2026.