Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ernesto Bogarin Miranda, MD

Individual provider Family Medicine Physician · NPI 1376951046

Ernesto Bogarin Miranda, MD is a Family Practice in Fort Atkinson, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2014, 12 years ago. Practices with Fort Healthcare Inc, a 162-clinician group and accepts Medicare assignment. Licensed in Arizona, North Dakota and Wisconsin.

Years since qualifying
12
Trained at
University of Wisconsin School of Medicine
Licensed in
AZ, ND, WI
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1520 Madison Ave
Fort Atkinson, WI 53538-3100
Phone: (920) 563-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73153-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence RL14696 (ND)
Internal Medicine Physician Taxonomy 207R00000X · Licence R74574 (AZ)

Record details

NPI number1376951046
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 25, 2014
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Fort Healthcare Inc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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