Mark R Hager, MD – Psychiatry Physician

Key facts

NPI: 1952397499
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatry Physician 2084P0800X
License: 941-526-6067 (SD)
Practice address: 379 6TH Ave W
Bradenton, FL 34205-8820
Phone: (941) 782-4259
Fax: (941) 782-4101
NPI assigned: Sep 20, 2005
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Modern Day Health Care Prof LLC Multi-Specialty Clinic/Center · Aberdeen, SD · NPI 1851883540

Medicare reassignment Care Compare group NPD PSYCHIATRY · SD
Fit for Life Chiropractic, LLC Chiropractor · Brandon, SD · NPI 1740778422

NPD
American Advanced Practice Network, P.C. Nurse Practitioner · Watertown, SD · NPI 1790244341

NPD (past)
Dakota Vascular Prof LLC Vascular Surgery Physician · Sioux Falls, SD · NPI 1407591258

NPD (past)

Medicare Care Compare profile

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 LLC (12 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment: Enrolled in SD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210127002724	SD	Practitioner - Psychiatry	7911192745	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
941-526-6067	SD	MD	Psychiatry Physician

Practice roles

Organization	Specialty	Status	New patients
Fit for Life Chiropractic, LLC		Current since Dec 20, 2023	Accepting new patients
Modern Day Health Care Prof LLC	Psychiatry	Current since Dec 20, 2023	Accepting new patients
American Advanced Practice Network, P.C.		Past	Accepting new patients
Dakota Vascular Prof LLC		Past since Dec 20, 2023	Accepting new patients

Locations

1409 6th Ave SE
Ste 1
Aberdeen, SD 57401
Phone (606) 250-1200

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician	2084P0800X	941-526-6067	SD	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2025.

{
    "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

All providers in Bradenton, FL · Psychiatry Physician in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.