Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenwood Avenue Foot and Ankle PLLC

Organization Primary Podiatric Medicine Podiatrist · NPI 1720252026

Glenwood Avenue Foot and Ankle PLLC is a Primary Podiatric Medicine Podiatrist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1514 Glenwood Ave
Raleigh, NC 27608-2368
Phone: (919) 829-0076
Fax: (919) 836-9094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence 154 (NC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1720252026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Fawcett — Sole Owner · (919) 829-0076
Other names Bruce G Fawcett Dpm
NPI enumeratedApril 17, 2008
Last updated in NPPESNovember 4, 2016
Mailing address1514 Glenwood Ave, Raleigh, NC 27608-2368

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