LEGEND MENTALITY – NPI #1053287706
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

LEGEND MENTALITY is a provider located in FARGO, ND. NPPES has assigned the NPI number 1053287706 to LEGEND MENTALITY on October 10, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Nov 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGEND MENTALITY below.

NPI Profile for
LEGEND MENTALITY

NPI Number
1053287706
Enumeration Date

(about 8 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGEND MENTALITY
Primary location
3547 47TH AVE S
FARGO, ND 58104-7767
Phone: (701) 970-0667 Fax: (701) 532-0698
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BERTHA AYI
PRESIDENT
Phone: (701) 970-0145
Updated
Certification Date
Nov 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

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

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.