Active NPI
Dana Geoffrey Borgeson, D.O.
- Diagnostic Radiology Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0102050201
- Practice address
- 3430 Tamiami TRL
Ste B
Port Charlotte, FL 33952-8148 - Phone
- (855) 674-4624
- Fax
- (941) 883-8368
- NPI assigned
- Jan 31, 2006
- Last updated
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS5985 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 0102050201 | VA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25IB13248700 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 34.009943 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 18413 | WI |
Addresses
Primary practice location
3430 Tamiami TRL
Ste B
Port Charlotte, FL 33952-8148
Mailing address
3410 Stanley St
Stevens Point, WI 54481-1325
Phone (715) 344-1234
Other practice location 1
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Nova Southeastern College of Osteo Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
1400 Dowell Springs Blvd
Suite 200
Knoxville, TN 37909-2457
Phone (865) 584-0291
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 92.26
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2436 | WV | MD | Professional Counselor |
| 0102050201 | VA | MD | Diagnostic Radiology Physician |
| 18413 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Kamilia F Kozlowski | Diagnostic Radiology | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Ashland Pathology Services SC | Past | Accepting new patients | |
| Advanced Imaging of Port Charlotte | Diagnostic Radiology | Past | Accepting new patients |
| Valley Radiologists Inc | Diagnostic Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
Locations
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
31075 Cortez Blvd
Brooksville, FL 34602
Phone (352) 796-5303
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
3430 Tamiami Trl
Ste B
Pt Charlotte, FL 33952
Phone (941) 625-1420
1400 Dowell Springs Blvd
Ste 200
Knoxville, TN 37909
Phone (865) 246-1958
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Knoxville Comprehensive Breast CTR
- Multi-Specialty Clinic/Center
- Knoxville, TN
- NPI 1790708030
Diagnostic Radiology
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Diagnostic Radiology Physician
- Stevens Point, WI
- NPI 1629004098
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Diagnostic Radiology Physician
- Port Charlotte, FL
- NPI 1225361850
-
- Anatomic Pathology & Clinical Pathology Physician
- Ashland, WI
- NPI 1063423846
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Wheeling, WV
- NPI 1598765182
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1295706950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 STANLEY ST",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544811325",
"telephone_number": "715-344-1234",
"fax_number": "715-344-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 TAMIAMI TRL",
"address_2": "STE B",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528148",
"telephone_number": "855-674-4624",
"fax_number": "941-883-8368"
}
],
"practiceLocations": [
{
"address_1": "100 Madison Ave",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079606136",
"country_code": "US",
"telephone_number": "973-971-5370",
"fax_number": "973-290-7294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORGESON",
"first_name": "DANA",
"middle_name": "GEOFFREY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS5985",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0102050201",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25IB13248700",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34.009943",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "18413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.