DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRUCE G FAWCETT, DPM

Active Sole Proprietor

Podiatrist · RALEIGH, NC

Registration Details

NPI Number
1336238336
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2006 (19.527353915589 yrs)
Last Updated
Apr 4, 2016
Licenses
154 (NC)
154 (NC)
154 (NC)
154 (NC)
154 (NC)
Sole Proprietor
Yes

Practice Information

Address
1514 GLENWOOD AVE
RALEIGH, NC, 276082368
Browse NC providers · Browse ZIP 27608
Phone
9198290076
Fax
9198369094
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Public Medicine Podiatrist
Additional Specialty
Radiology Podiatrist
Additional Specialty
Radiology Podiatrist
Additional Specialty
Sports Medicine Podiatrist

Other Podiatrist Providers in RALEIGH, NC

Name Credential NPI
DR. EDGAR XAVIER CORREA DPM 1194708263
MR. JAMES MICHAEL HOPKINS DPM 1386627479
DR. DAVID CORY TOBIN DPM 1649253519
DR. KATHLEEN LAROSE DPM 1225095318
ALAN P BOEHM JR. DPM 1851303366
DR. JAMES LEROY EDWARDS DPM 1598854895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.