Bruce G Fawcett is a Radiology in Raleigh, North Carolina. Bruce G Fawcett practices all healthcare services and medical treatments related to Radiology. The NPI Number for Bruce G Fawcett is 1336238336. The last update date is 2016-04-04.
Bruce G Fawcett's current location address is 1514 Glenwood Avenue, Raleigh, North Carolina. You can contact this provider via phone number 9198290076 and fax number 9198369094. The mailing address for Bruce G Fawcett is 1514 Glenwood Avenue, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce G Fawcett |
|---|---|
| Address | 1514 Glenwood Avenue, Raleigh, North Carolina |
| Phone Number | 9198290076 |
| Fax Number | 9198369094 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1336238336 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2016-04-04 |
Provider Mailing Address Detail
| Address | 1514 Glenwood Avenue |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276082368 |
| Phone Number | 9198290076 |
| Fax Number | 9198369094 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 213Er0200X |
| Licence No | 154 |
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Definition: A doctor of podiatric medicine who specializes in medical imaging of the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2751610 | NC | UNITED | |
| 8064 | NC | BCBS | |
| 1115086015 | NC | CIGNA | |
| 480017899 | NC | RAILROAD MEDICARE | |
| 7908064 | NC | -- | |
| 16437 | NC | PARTNERS | |
| 561412156 | NC | HUMANA | |
| 4279205 | NC | AETNA | |
| 440912 | NC | OPTIMUM CHOICE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce G Fawcett by the Centers for Medicare & Medicaid Services?
The Bruce G Fawcett has been assigned the NPI (National Provider Identifier) 1336238336 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Bruce G Fawcett is physically located?
The Bruce G Fawcett is physically situated at the following address: 1514 Glenwood Avenue, Raleigh, NC, 276082368.
What is Bruce G Fawcett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce G Fawcett's specialized field of practice is Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 213Er0200X.
When did Bruce G Fawcett receive its 1336238336 assignment?
The Bruce G Fawcett was assigned its 1336238336 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Bruce G Fawcett most recently updated or revised?
The information pertaining to Bruce G Fawcett, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-04.
NPI Number: 1275535502
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