Bruce G Fawcett Dpm

LBN: Glenwood Avenue Foot And Ankle Pllc
Bruce G Fawcett Dpm is an health care organization with primary practice located at 1514 Glenwood Ave , Raleigh NC 27608-2368. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty. Glenwood Avenue Foot And Ankle Pllc can be contacted via phone (919) 829-0076, or through Fawcett, Bruce G via phone (919) 829-0076.

Contact Information

Primary practice address
1514 Glenwood Ave Raleigh NC 27608-2368
Phone: (919) 829-0076
Fax: (919) 836-9094
Website:
Map and Directions
Authorized official contact:
Name: Fawcett, Bruce G Doctor of Podiatric Medicine (DPM)
Phone: (919) 829-0076

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 154 North Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1720252026
LBN Legal business name Glenwood Avenue Foot And Ankle Pllc
DBA Doing business as Bruce G Fawcett Dpm
Authorized official Fawcett, Bruce G Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated Nov 4th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720252026 NPPES
North Carolina MEDICAID 7908064

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