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DR. BRUCE DOUGLAS BANWART MD
NPI 1811945439
Pediatrics - Pediatric Critical Care Medicine in Sioux Falls, SD

Active since May 05, 2006PECOS Enrolled
1417 S CLIFF AVE STE 201, SIOUX FALLS, SD 57105(605) 322-3666 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce Douglas Banwart Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE DOUGLAS BANWART MD (NPI 1811945439) is an individual pediatric critical care medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (12415) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811945439
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. BRUCE DOUGLAS BANWARTCredential: MD
Location Address1417 S CLIFF AVE STE 201Sioux Falls, SD 57105-1009
Mailing Address1417 S Cliff Ave Ste 201Sioux Falls, SD 57105-1009 · (605) 322-3666
Phone(605) 322-3666
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1811945439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in SD · 12415✔ Licensed in MO · 2015008610
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
1417 S CLIFF AVE STE 201, Sioux Falls, SD 57105
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Other Identifiers 2

Medicaid100421570AKS
Medicaid205855109MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce Douglas Banwart Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIVEDITA MOHARI M.B.B.S.
Pediatrics (Pediatric Critical Care Medicine)
1417 S CLIFF AVE STE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3666
AVERA MCKENNAN
Pediatrics (Pediatric Critical Care Medicine)
1417 S CLIFF AVE STE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3440
KINGSHUK DASGUPTA MD
Pediatrics (Pediatric Critical Care Medicine)
1417 S CLIFF AVE STE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Banwart's NPI number?

The NPI number for Bruce Banwart is 1811945439. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Bruce Banwart located?

Bruce Banwart practices at 1417 S Cliff Ave Ste 201, Sioux Falls, SD 57105. The listed phone number is (605) 322-3666.

What is Bruce Banwart's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Bruce Banwart enrolled in Medicare?

Yes. Bruce Banwart is registered in the Medicare PECOS enrollment system.

What insurance does Bruce Banwart accept?

Health plans from Avera Health Plans, Medica and Moda Health Plan, Inc. list Bruce Banwart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Banwart was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.