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).
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 |
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 |
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 |
Street Address |
1514 GLENWOOD AVE |
City | RALEIGH |
State | NC |
Zip Code | 27608-2368 |
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 |
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 Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
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. |
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 |
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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.