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Contact Information

BRUCE G FAWCETT, DPM
1514 GLENWOOD AVE
RALEIGH, NC27608-2368
 Phone: 919-829-0076
 Fax: 919-836-9094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRUCE G FAWCETT · (Male)

NPI Number 1336238336
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/11/2006
Last updated 04/04/2016 - About 10 years ago
Sole proprietor 1 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(s) Not Available
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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