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Glenwood Avenue Foot and Ankle Pllc

Primary Podiatric Medicine Podiatrist in Raleigh, NC · enumerated 2008 · authorized official Bruce Fawcett, Sole Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720252026

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Registry record

Entity type Organization (Type 2)
Legal business name Glenwood Avenue Foot and Ankle Pllc
Other name <Unavail>
Practice address 1514 Glenwood Ave, Raleigh, NC, 27608
Phone (919) 829-0076
Fax (919) 836-9094
Enumeration date Apr 17, 2008
Last updated in NPPES Nov 4, 2016

Taxonomy & classification

213EP1101X Primary Podiatric Medicine Podiatrist Podiatric Medicine & Surgery Service Providers · License 154 (NC) Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Bruce Fawcett
Title Sole Owner
Phone (919) 829-0076

Other identifiers

Identifier Type State Issuer
7908064 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Glenwood Avenue Foot and Ankle Pllc located?
The practice location on file with NPPES is in Raleigh, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-04. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-04.