Glenwood Avenue Foot And Ankle Pllc
Primary Podiatric Medicine
1514 Glenwood Ave, Raleigh
North Carolina, 27608-2368
919-829-0076 919-836-9094
Glenwood Avenue Foot And Ankle Pllc is a Primary Podiatric Medicine in Raleigh, North Carolina. It is located at 1514 Glenwood Ave, Raleigh and it's customer support contact number is 919-829-0076. The authorized person of Glenwood Avenue Foot And Ankle Pllc is Mr. Bruce G Fawcett, DPM who is Sole Owner of this DME and his contact number is 919-829-0076. Active license number of Glenwood Avenue Foot And Ankle Pllc is 154 for Primary Podiatric Medicine in North Carolina.
Glenwood Avenue Foot And Ankle Pllc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Glenwood Avenue Foot And Ankle Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Glenwood Avenue Foot And Ankle Pllc |
| Type: | Primary Podiatric Medicine |
| Location: | 1514 Glenwood Ave, Raleigh,
North Carolina, 27608-2368 |
| Phone: | 919-829-0076 |
| Fax: | 919-836-9094 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Bruce G Fawcett |
| Credentials: | DPM |
| Position: | Sole Owner |
| Contact Number: | 919-829-0076 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1720252026 |
| NPI Enumeration Date: | 17 Apr, 2008 |
| NPI Last Update On: | 04 Nov, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glenwood Avenue Foot And Ankle Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Primary Podiatric Medicine | 154 | North Carolina | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7908064 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1514 Glenwood Ave,
Raleigh, North Carolina |
| Zip: | 27608-2368 |
| Phone Number: | 919-829-0076 |
| Fax Number: | 919-836-9094 |
Patients can reach Glenwood Avenue Foot And Ankle Pllc at
1514 Glenwood Ave, Raleigh, North Carolina or can
call on customer care at 919-829-0076.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.