MARK MAST MD NPI 1720166994

NPI Information

  • NPI: 1720166994
  • Provider Name: MARK MAST, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 13892 TIMBER WAY
    BROADWAY, VA
    ZIP 22815
  • Phone: (540) 901-0800

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NPI Details

Mark Mast, MD is a family medicine in Broadway, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark Mast, MD NPI is 1720166994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13892 TIMBER WAY
BROADWAY, VA
ZIP 22815-332
Phone: (540) 901-0800
Fax: (757) 578-8547

The enumeration date for this NPI number is 11/2/2006 and was last updated on 5/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0101230542VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11720166994MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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