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

Evan Fitzgerald, MD

Individual provider Family Medicine Physician · NPI 1831540350

Evan Fitzgerald, MD is a Family Practice in Vicksburg, Michigan. Graduated from Ohio State University College of Medicine in 2006, 20 years ago. Practices with Bronson Methodist Hospital, a 719-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Virginia.

Years since qualifying
20
Trained at
Ohio State University College of Medicine
Licensed in
MI, VA
In the registry since
2016
Specialties on file
2
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

13320 N Blvd
Vicksburg, MI 49097-1514
Phone: (269) 649-2012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13320 N Blvd, Vicksburg, MI 49097-1514 — (269) 649-2012
  • 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 — (700) 391-2020

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301500376 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0116029765 (VA)

Record details

NPI number1831540350
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESNovember 27, 2023
Certification dateOctober 7, 2020
Mailing address13320 North Blvd, Vicksburg, MI 49097-1514

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Bronson Methodist Hospital — 719 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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