Mobility Bridge LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

MOBILITY BRIDGE LLC

Practice address

1323 23Rd St S Ste D
Fargo, ND 58103-3759

Phone

(701) 781-0208

NPI assigned

Nov 12, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Siraj IssakNPI 1003767559

Title

Manager

Phone

(701) 781-0208

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Siraj Issak

  • Private Vehicle
  • Fargo, ND
  • NPI 1003767559

  Peer Specialist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1932069945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033759",
            "telephone_number": "701-781-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 23RD ST S STE D",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033759",
            "telephone_number": "701-781-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY BRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "ISSAK",
        "authorized_official_first_name": "SIRAJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-781-0208"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Mitzel Dubois, OD
• Lucas Mitzel, LCSW
• Wyatt L Mitzel, PA-C
• MKB Management Corporation
• Celestine Uche Mkpozi, MBBS, MD
• Allyson Moch, PHARMD
• Shelby C Moch
• Barbara J Moe, LRD
• Brian D Moe, PHARMD
• Brian Keith Moe, PH.D.

• All providers in Fargo, ND
• Peer Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.