LEGEND MENTALITY NPI 1053287706

NPI Information

NPI: 1053287706
Provider Name: LEGEND MENTALITY
Classification: Internal Medicine - 207RI0200X
Specialization: Infectious Disease
Entity Type: Organization
Address: 3547 47TH AVE S
FARGO, ND
ZIP 58104
Phone: (701) 970-0667

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NPI Details

LEGEND MENTALITY is an infectious disease internal medicine in Fargo, ND. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. LEGEND MENTALITY NPI is 1053287706. The provider is registered as an organization entity type.

The provider's business location address is:

3547 47TH AVE S
FARGO, ND
ZIP 58104-767
Phone: (701) 970-0667
Fax: (701) 532-0698

The provider's authorized official is Bertha Serwa Ayi .
The authorized official title is President and has the following contact phone number (701) 970-0145.

The enumeration date for this NPI number is 10/10/2025 and was last updated on 11/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	343900000X	Non-emergency Medical Transport (VAN)		No
2	251S00000X	Community/Behavioral Health		No
3	332B00000X	Durable Medical Equipment & Medical Supplies		No
4	3336S0011X	Pharmacy	Specialty Pharmacy	No
5	251F00000X	Home Infusion		No
6	376K00000X	Nurse's Aide		No
7	207R00000X	Internal Medicine		No
8	251E00000X	Home Health		No
9	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
10	251G00000X	Hospice Care, Community Based		No
11	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
12	251C00000X	Day Training, Developmentally Disabled Services		No
13	207RI0200X	Internal Medicine	Infectious Disease	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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