Mark Edward Mavity, MD, MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD066025L Issued in PA

Practice address

11 Medical Group
238 Brookley Avenue
Bolling Afb, DC 20332-0001

Phone

(202) 404-5866

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841291937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 BRAMBLE PL",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034015",
            "telephone_number": "703-764-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL GROUP",
            "address_2": "238 BROOKLEY AVENUE",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "203320001",
            "telephone_number": "202-404-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVITY",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "PA",
            "license": "MD066025L",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "MD066025L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Tinsley-Bowles Long, LCSW
• Amy Lynn, APRN, DNP, WHNP-BC
• Jerald L Mahlau-Heinert
• Tyanna Marquez
• Margaret Barnes Matarese, M.D.
• William Gary Meyer, M.D.
• Katherine R. Morgnti IV, D.D.S., M.P.H.
• Paul J Nawiesniak, DDS
• Ben Onnink, MD
• Eric Joseph Palte, DDS

• Public Health & General Preventive Medicine Physician in Bolling Afb, DC
• Providers in Bolling Afb, DC by specialty
• Public Health & General Preventive Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.