Active NPI
Lawrence Charles Wilkerson IV, DO
- Family Medicine Physician
- Fargo, ND
National Provider Identifier
1245022490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RL22555
- Practice address
- 737 Broadway North
Fargo, ND 58122-0170 - Phone
- (701) 234-6076
- Fax
- (701) 234-7230
- NPI assigned
- May 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RL22555 | ND | Primary |
Addresses
Primary practice location
737 Broadway North
Fargo, ND 58122-0170
Mailing address
Sanford Health 801 Broadway North
Fargo, ND 58122-0170
Phone (701) 234-6076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL22555 | ND | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1245022490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SANFORD HEALTH 801 BROADWAY NORTH",
"city": "FARGO",
"state": "ND",
"postal_code": "581220170",
"telephone_number": "701-234-6076",
"fax_number": "701-234-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 BROADWAY NORTH",
"city": "FARGO",
"state": "ND",
"postal_code": "581220170",
"telephone_number": "701-234-6076",
"fax_number": "701-234-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "LAWRENCE",
"middle_name": "CHARLES",
"name_suffix": "IV",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-21",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL22555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.