Individual provider Active NPI

Mark S Dawson

  • Gastroenterology Physician
  • Bradenton, FL
National Provider Identifier
1457322133
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0064729 Issued in FL
Practice address
101 Riverfront Blvd Ste 700
Bradenton, FL 34205-8823
Phone
(941) 748-2417
Fax
(941) 748-3694
NPI assigned
Jan 30, 2006
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0064729 FL Primary

Addresses

Primary practice location

101 Riverfront Blvd Ste 700
Bradenton, FL 34205-8823

Mailing address

101 Riverfront Blvd Ste 700
Bradenton, FL 34205-8823
Phone (941) 748-2417

Other practice location 1

129 S Pebble Beach Blvd Ste 100
Sun City Center, FL 33573-5718
Phone (813) 634-9272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100818001238 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 3678625969 Reassigns benefits to 3 organizations
I20250821000590 MN Practitioner - Gastroenterology 3678625969

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 468-0120

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

8960 Colonial Ctr Dr
Fort Myers, FL 33905-7810

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0064729FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
Centracare Clinic CurrentSince Jul 23, 2025 Accepting new patients
Florida Digestive Health Specialists, LLP Gastroenterology CurrentSince Jan 1, 2011 Accepting new patients
St. Cloud Hospital CurrentSince Jul 23, 2025 Accepting new patients
Centracare Clinic Gastroenterology CurrentSince Jul 23, 2025 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
St. Cloud Hospital CurrentSince Jul 23, 2025 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Centracare Clinic Past Accepting new patients
Sun Coast Gi Associates Gastroenterology PastSince May 27, 2009 Accepting new patients

Locations

101 Riverfront Blvd
Ste 700
Bradenton, FL 34205
Phone (941) 748-2417

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

250 2nd St E
Ste 3E
Bradenton, FL 34208
Phone (941) 243-3983

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

16410 Healthpark Commons Dr
Fort Myers, FL 33908

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

129 S Pebble Beach Blvd
Ste 100
Sun City Center, FL 33573
Phone (813) 634-9272

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 12

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 4

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1457322133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 700",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058823",
            "telephone_number": "941-748-2417",
            "fax_number": "941-748-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 700",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058823",
            "telephone_number": "941-748-2417",
            "fax_number": "941-748-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 S Pebble Beach Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735718",
            "country_code": "US",
            "telephone_number": "813-634-9272",
            "fax_number": "941-748-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MARK",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0064729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.