Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David J Pengilly, MD

Individual provider Family Medicine Physician · NPI 1710099114

David J Pengilly, MD is a Family Practice in Bismarck, North Dakota. Graduated from University of North Dakota School of Medicine in 1992, 34 years ago. Practices with Sanford Bismarck, a 561-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
34
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1040 Tacoma Ave S
Bismarck, ND 58504
Phone: (701) 323-6990
Fax: (701) 323-6994
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6620 (ND)

Record details

NPI number1710099114
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 11, 2011
Mailing addressPo Box 5501, Bismarck, ND 58506-5501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bismarck