Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Glenwood Avenue Foot and Ankle PLLC

Organization Primary Podiatric Medicine Podiatrist · NPI 1720252026

Glenwood Avenue Foot and Ankle PLLC provides Primary Podiatric Medicine Podiatrist services 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.

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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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