Organization · Type 2 NPI

Privia Medical Group, LLC

Emergency Medicine Physician · Glenn Dale, MD

NPI number 1902691272 Active

Practice location

12150 Annapolis Rd Ste 212
Glenn Dale, MD 20769-9183

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Emergency Medicine Physician: 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 respo…

Another provider at this address

About NPI 1902691272

Privia Medical Group, LLC's National Provider Identifier is 1902691272, issued on Apr 9, 2025. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Glenn Dale, MD. The record was last updated on Jan 27, 2026.