DR. BRUCE G FAWCETT


Address: 1514 Glenwood Ave, Raleigh, NC 27608-2368
Phone: 9198290076

DR. BRUCE G FAWCETT (NPI# 1336238336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336238336
Entity Type Individual
Full Name DR. BRUCE G FAWCETT
Credential DPM
Practice Address 1514 Glenwood Ave
Raleigh
NC 27608-2368
Mailing Address 1514 Glenwood Avenue
Raleigh
NC 27608-2368
Practice Telephone 9198290076
Practice Fax Number 9198369094
Mailing Telephone 9198290076
Mailing Fax Number 9198369094
Enumeration Date 2006-10-11
Last Update Date 2016-04-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 154 NC Podiatric Medicine & Surgery Service Providers
N 213EP0504X Podiatrist
Specialization: Public Medicine
154 NC Podiatric Medicine & Surgery Service Providers
N 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
154 NC Podiatric Medicine & Surgery Service Providers
N 213ER0200X Podiatrist
Specialization: Radiology
154 NC Podiatric Medicine & Surgery Service Providers
N 213ES0000X Podiatrist
Specialization: Sports Medicine
154 NC Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
154 NC Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC AETNA 4279205 01
NC OPTIMUM CHOICE 440912 01
NC RAILROAD MEDICARE 480017899 01
NC CIGNA 1115086015 01
NC UNITED 2751610 01
NC HUMANA 561412156 01
NC BCBS 08064 01
NC PARTNERS 16437 01
NC 7908064 05

Office Location

Street Address 1514 GLENWOOD AVE
City RALEIGH
State NC
Zip Code 27608-2368

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487135885 Instride Foot & Ankle Specialists, Pllc Podiatrist 1514 Glenwood Ave, Raleigh, NC 27608-2368 2018-08-23
1235666710 Capital Foot and Ankle Centers Podiatrist 1514 Glenwood Ave, Raleigh, NC 27608-2368 2017-05-16
1588071484 Eldon Peters Podiatrist 1514 Glenwood Ave, Raleigh, NC 27608-2368 2014-07-13
1720252026 Glenwood Avenue Foot and Ankle Pllc Durable Medical Equipment & Medical Supplies 1514 Glenwood Ave, Raleigh, NC 27608-2368 2008-04-17
1265611560 Deep Patel Podiatrist 1514 Glenwood Ave, Raleigh, NC 27608-2368 2007-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255856175 Abbe Colodny Pllc Community/Behavioral Health 330 Pershing Road, Ralegih, NC 27608 2017-08-11
1417303975 Restoration Family Counseling Social Worker 3103 Eton Rd, Raleigh, NC 27608 2016-05-13
1194192864 Kathryn Bailey Jeutter Specialist/Technologist 1550 Iredell Dr, Raleigh, NC 27608 2015-08-28
1285950345 Kathryn Dukes Miller Social Worker 2306 Mcmullan Circle, Raleigh, NC 27608 2010-04-14
1093043341 Kristen Bryda Beach Dietitian, Registered 608 Scales Towne Court, Raleigh, NC 27608 2009-11-25
1811144942 Rachael Hollister Wooten Psychologist 2721 Kittrell Dr., Raleigh, NC 27608 2008-08-20
1861641862 Michele Carpenter Bulk Physical Therapist 513 E Whitaker Mill Rd, Raleigh, NC 27608 2008-09-15
1770872673 Wendy Jill Phillips Physical Therapist 2626 Glennwood Ave, Suite 160, Raleigh, NC 27608-0000 2011-03-31
1427147875 Brian J Kelleher Dds Pa Clinic/Center 2609 Glenwood Ave, Raleigh, NC 27608-1003 2006-10-12
1942795455 Seth C Rumley Dds Pa II Dentist 2609 Glenwood Ave, Raleigh, NC 27608-1003 2018-06-27
Find all providers in zip 27608

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982992517 Jordan David Meyers Podiatrist 1418 E. Millbrook Rd, Raleigh, NC 27609-4812 2011-07-17
1598854895 James Leroy Edwards Podiatrist 515 St Marys Street, Raleigh, NC 27605-1774 2006-10-12
1487769857 Family Foot & Ankle Center, P.a. Podiatrist 1004 Dresser Ct Ste 102, Raleigh, NC 27609-7325 2006-08-19
1225095318 Kathleen Fineco Podiatrist 5928 N Hills Dr, Raleigh, NC 27609-4236 2006-05-01
1386616415 Patrick Dougherty Podiatrist 1004 Dresser Ct, Raleigh, NC 27609-7325 2006-02-02
1386627479 James Michael Hopkins Podiatrist 8305 Falls of Neuse Rd, Ste 100, Raleigh, NC 27615 2005-11-22
1194708263 Edgar Xavier Correa Podiatrist 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 2005-11-22
1588667265 Carroll D Kratzer Podiatrist 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 2005-05-24
1992337794 Seniorwell Pod of North Carolina LLC Podiatrist 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 2020-02-10
1407363625 Foot and Ankle Specialists of The Mid-atlantic, LLC Podiatrist 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 2018-01-09
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27608

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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