National Provider Identifier Database

BRUCE G FAWCETT, DPM – NPI #1336238336
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.


Contact Information

BRUCE G FAWCETT, DPM
1514 GLENWOOD AVE
RALEIGH, NC27608-2368
Phone: 919-829-0076
Fax: 919-836-9094
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Primary Podiatric Medicine 213EP1101X
Public Health 213EP0504X
Radiology 213ER0200X
Sports Medicine 213ES0000X
Surgery, Foot 213ES0131X

* Indicates primary specialty

NPI Profile & details for BRUCE G FAWCETT

NPI Number 1336238336
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/11/2006
Last updated 04/04/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • NC License #: 154
  • NC Medicaid: 7908064
  • NC Other: 4279205 AETNA
  • NC Other: 08064 BCBS
  • NC Other: 1115086015 CIGNA
  • NC Other: 561412156 HUMANA
  • NC Other: 440912 OPTIMUM CHOICE
  • NC Other: 16437 PARTNERS
  • NC Other: 480017899 RAILROAD MEDICARE
  • NC Other: 2751610 UNITED
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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