Glenwood Avenue Foot and Ankle PLLC
NPI 1720252026ActiveOrganization· Podiatrist, Primary Podiatric Medicine· Raleigh, NC
Podiatrist, Primary Podiatric Medicine in Raleigh, North Carolina, registered in NPPES in April 2008. The authorized official on file is Bruce G. Fawcett, DPM, Sole Owner.
Overview
| NPI | 1720252026 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2008 |
| Last updated in NPPES | Nov 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Primary Podiatric Medicine Primary | 213EP1101X | 154 | NC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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