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GLENWOOD AVENUE FOOT AND ANKLE PLLC
NPI 1720252026
Podiatrist - Primary Podiatric Medicine in Raleigh, NC

Active since April 17, 2008
1514 GLENWOOD AVE, RALEIGH, NC 27608(919) 829-0076(919) 836-9094 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2016, Mar 29, 2016, Jan 26, 2016 (3 updates tracked since 2016).

About Glenwood Avenue Foot And Ankle Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENWOOD AVENUE FOOT AND ANKLE PLLC (NPI 1720252026), doing business as Bruce G Fawcett Dpm, is a healthcare organization registered as a primary podiatric medicine in Raleigh, North Carolina and active in the NPI registry since April 2008. The organization lists Bruce G Fawcett, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1720252026
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameGLENWOOD AVENUE FOOT AND ANKLE PLLC
Location Address1514 GLENWOOD AVERaleigh, NC 27608-2368
Mailing Address1514 Glenwood AveRaleigh, NC 27608-2368 · (919) 829-0076 · Fax (919) 836-9094
Phone(919) 829-0076
Fax(919) 836-9094
Organization SubpartNo
Authorized OfficialBruce G FawcettSole Owner · (919) 829-0076
Enumeration DateApril 17, 2008
Last NPPES UpdateNovember 4, 20163 updates tracked since enumeration
✔ NPI 1720252026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NC · 154
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1514 GLENWOOD AVE, Raleigh, NC 27608
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Other Names 1

Former Legal Business NameBruce G Fawcett Dpm

Other Identifiers 3

Medicare NSC7524400001NC
Medicare PINF491NC
Medicaid7908064NC

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAPITAL FOOT AND ANKLE CENTERS
Podiatrist (Foot & Ankle Surgery)
1514 GLENWOOD AVE
RALEIGH, NC 27608
Wake County (919) 619-7310
DEEP PATEL DPM
Podiatrist (Foot & Ankle Surgery)
1514 GLENWOOD AVE
RALEIGH, NC 27608
Wake County (919) 829-0076
DR. BRUCE G FAWCETT DPM
Podiatrist
1514 GLENWOOD AVE
RALEIGH, NC 27608
Wake County (919) 829-0076
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Podiatrist (Primary Podiatric Medicine)
1514 GLENWOOD AVE
RALEIGH, NC 27608
Wake County (919) 829-0076
DR. ELDON PETERS DPM
Podiatrist (Foot & Ankle Surgery)
1514 GLENWOOD AVE
RALEIGH, NC 27608
Wake County (919) 829-0076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenwood Avenue Foot And Ankle PLLC's NPI number?

The NPI number for Glenwood Avenue Foot And Ankle PLLC is 1720252026. It was assigned to this organization in the NPPES registry on April 17, 2008. The provider was formerly known as Bruce G Fawcett Dpm.

Where is Glenwood Avenue Foot And Ankle PLLC located?

Glenwood Avenue Foot And Ankle PLLC is located at 1514 Glenwood Ave, Raleigh, NC 27608. The listed phone number is (919) 829-0076.

What is Glenwood Avenue Foot And Ankle PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Glenwood Avenue Foot And Ankle PLLC was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.