Dr. Bruce Douglas Banwart
MD | Pediatric Critical Care Medicine | Male
Dr. Bruce Douglas Banwart, MD is a Sioux Falls, South Dakota based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Bruce Douglas Banwart is
1417 S Cliff Ave Ste 201, Sioux Falls, South Dakota - 57105-1009. He can be contacted on phone at
605-322-3666.
Dr. Bruce Douglas Banwart is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bruce Douglas Banwart is
1811945439 which was assigned by NPPES on 05 May, 2006 and it was last updated on 24 Mar, 2021.
Dr. Bruce Douglas Banwart license number is
12415 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in South Dakota.
Dr. Bruce Douglas Banwart is 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.
Complete Profile:
Dr. Bruce Douglas Banwart basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Bruce Douglas Banwart |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Bruce Douglas Banwart address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1417 S Cliff Ave Ste 201
Sioux Falls, SD, 57105-1009
United States |
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| Phone Number : | 605-322-3666 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811945439 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 May, 2006 |
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| Last Updated On : | 24 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bruce Douglas Banwart are as mentioned. Primary taxonomy code for Dr. Bruce Douglas Banwart, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 12415 | SD |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 2015008610 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bruce Douglas Banwart such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 100421570A | MEDICAID | KS | |
| 205855109 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1417 S Cliff Ave Ste 201
Sioux Falls, SD, 57105-1009
United States |
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| Phone Number : | 605-322-3666 |
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Business Location:
Patients can refer following map for directions to
Dr. Bruce Douglas Banwart practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.