Jack Charles Jawitz, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME44267 Issued in FL

Practice address

2919 26TH St West
Bradenton, FL 34205-3737

Phone

(941) 755-2255

Fax

(941) 756-4465

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Dermatology

Education

State University of New York Downstate Medical Center, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brooks Management IncGroup PAC ID 2668633827, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brooks Management Inc

  • Clinical Medical Laboratory
  • Bradenton, FL
  • NPI 1699031880

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Multi-Specialty

  Medicare reassignment NPD
• Brooks Management

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1093017774
  NPD (past) Authorized official
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1316934714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 26TH ST WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053737",
            "telephone_number": "941-755-2255",
            "fax_number": "941-756-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 26TH ST WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053737",
            "telephone_number": "941-755-2255",
            "fax_number": "941-756-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWITZ",
        "first_name": "JACK",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME44267",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME44267",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME44267",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068779100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Jardine, LMT
• Dora Elena Jarquin, D.M.D
• Luis Jaro Jasa, M.D.
• Kimberly D Jasch, ARNP
• Jaslinks Companion Care Inc
• Jennys Jay Costa
• Jay Crump OD PA
• Jay R. Froug, D.M.D., P.a. D/B/a Pinebrook Dental Center
• Kasthuri E Jayaraj, M.D.
• Mary Jazzar, RDH

• Dermatology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.

Verify at the official NPI Registry.