Individual provider Active NPI

Dana Geoffrey Borgeson, D.O.

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
National Provider Identifier
1295706950
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0102050201 Issued in VA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140910000203 FL Practitioner - Diagnostic Radiology 0143259820 Reassigns benefits to 1 organization
I20201102002345 WI Practitioner - Diagnostic Radiology 0143259820 Reassigns benefits to 1 organization
I20251028004553 TN Practitioner - Diagnostic Radiology 0143259820 Reassigns benefits to 1 organization

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
Kamilia F KozlowskiGroup PAC ID 2860429099, 11 clinicians

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 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2436WVMDProfessional Counselor
0102050201VAMDDiagnostic Radiology Physician
18413WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jul 1, 2016 Accepting new patients
Kamilia F Kozlowski Diagnostic Radiology CurrentSince Sep 16, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 1, 2016 Accepting new patients
Ashland Pathology Services SC PastSince Jul 12, 2020 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.