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Legend Mentality

Infectious Disease Physician in Fargo, ND · enumerated 2025 · authorized official Bertha Ayi, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053287706

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Registry record

Entity type Organization (Type 2)
Legal business name Legend Mentality
Practice address 3547 47th Ave S, Fargo, ND, 58104
Phone (701) 970-0667
Fax (701) 532-0698
Enumeration date Oct 10, 2025
Last updated in NPPES Nov 10, 2025

Taxonomy & classification

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

Authorized official

Name Bertha Ayi
Title President
Phone (701) 970-0145

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Legend Mentality?
Legend Mentality is registered in NPPES as a Infectious Disease Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-10.