MEDICARE: MAYSON AMY BEDIENT DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OT016071	PA
2	207Q00000X	Family Medicine Physician	72458	MN
3	207Q00000X	Family Medicine Physician	18954	ND
4	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	18954	ND

General Provider Information

NPI Number	:	1548675770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYSON AMY BEDIENT DO

Provider Business Mailing Address
First Line	:	3800 56TH AVE S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-6706
Country	:	US
Telephone Number	:	701-356-1500
Fax Number	:	701-356-1596

Provider Business Practice Location Address
First Line	:	3800 56TH AVE S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-6706
Country	:	US
Telephone Number	:	701-356-1500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	07/28/2025

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Directions to “ MAYSON AMY BEDIENT DO” Practice Location

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