Family Medicine, Adult Medicine
LEGACY MEDICAL LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1619594637 · enumerated 2020-06-26 · record updated 2023-03-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JILL WILSON MBA, OTR/L, Chief Operating Officer · (701) 516-4637
Addresses and phones
- Practice location 600 S 2ND ST STE 200, BISMARCK, ND, 58504-5729 (701) 516-4637 Fax (877) 651-1381 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 13238, GRAND FORKS, ND, 58208-3238 (701) 516-4637 Fax (877) 651-1381 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Adult Medicine 207QA0505X · Primary
In this directory
Locations and evidence
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Practice location
BISMARCK, ND, 585045729
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.