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

Legend Mentality

Organization Internal Medicine Physician · NPI 1053287706

Legend Mentality is an Internal Medicine Physician in Fargo, North Dakota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
13
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Practice location Address checks out

3547 47th Ave S
Fargo, ND 58104-7767
Phone: (701) 970-0667
Fax: (701) 532-0698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X
Internal Medicine Physician Taxonomy 207R00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Home Health Agency Taxonomy 251E00000X
Home Infusion Agency Taxonomy 251F00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Specialty Pharmacy Taxonomy 3336S0011X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Nurse's Aide Taxonomy 376K00000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X
Child Physical Disabilities Respite Care Taxonomy 385HR2065X

Record details

NPI number1053287706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bertha Ayi — President · (701) 970-0145
Other names 1access2health
NPI enumeratedOctober 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address3547 47th Ave S, Fargo, ND 58104-7767

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