CMS-1500 Box 24J / 33a • NPI
1548675770
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207QH0002X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
3800 56TH AVE S, FARGO, ND, 58104-6706
✓ 9-Digit EDI 837 ZIP+4 (58104-6706)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1548675770 (MAYSON AMY BEDIENT, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1548675770 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MAYSON AMY BEDIENT, DO |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207QH0002X (Family Medicine, Hospice and Palliative Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 3800 56TH AVE S, FARGO, ND, 58104-6706 |
| Practice Telephone / Fax | Tel: (701) 356-1500 |
| Administrative Mailing Address | 3800 56TH AVE S, FARGO, ND, 58104-6706 |
| Enumeration & Last Sync | Enumerated: 2014-06-26 | CMS Record Updated: 2026-10-13 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207QH0002X)
What Does Taxonomy Code 207QH0002X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207QH0002X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MAYSON AMY BEDIENT, DO)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: ND | License: 18954 | Primary: Secondary |
207QH0002X — Family Medicine, Hospice and Palliative MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: ND | License: 18954 | Primary: Yes (Primary) |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: MN | License: 72458 | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: PA | License: OT016071 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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