Individual provider Active NPI

Mark R Hager, MD

  • Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1952397499
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
941-526-6067 Issued in SD
Practice address
379 6TH Ave W
Bradenton, FL 34205-8820
Phone
(941) 782-4259
Fax
(941) 782-4101
NPI assigned
Sep 20, 2005
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 941-526-6067 SD Primary

Addresses

Primary practice location

379 6TH Ave W
Bradenton, FL 34205-8820

Mailing address

12979 387TH Ave
Aberdeen, SD 57401-8601
Phone (605) 250-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20210127002724 SD Practitioner - Psychiatry 7911192745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Day Health Care Prof LLCGroup PAC ID 8325473507, 12 clinicians

Practice addresses (Care Compare)

1409 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4950
Phone (605) 250-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
941-526-6067SDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fit for Life Chiropractic, LLC CurrentSince Dec 20, 2023 Accepting new patients
Modern Day Health Care Prof LLC Psychiatry CurrentSince Dec 20, 2023 Accepting new patients
Dakota Vascular Prof LLC PastSince Dec 20, 2023 Accepting new patients
American Advanced Practice Network, P.C. Past Accepting new patients

Locations

1409 6th Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 240-1200

312 E Holly Blvd
Brandon, SD 57005
Phone (605) 254-7735

145 Dakota Ave S
Huron, SD 57350

2501 S Louise Ave
Unit 90332
Sioux Falls, SD 57109

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1952397499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12979 387TH AVE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574018601",
            "telephone_number": "605-250-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "941-782-4259",
            "fax_number": "941-782-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "941-526-6067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.