MEDICARE: DR. BRIAN M. COVINO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	24800	TN
2	207X00000X	Orthopaedic Surgery Physician	MD24800	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	200029920	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1193933	OTHER	TN	UNITED HEALTH CARE
2	3071386	OTHER	TN	BLUE CROSS BLUE SHIELD
3	100010010	OTHER	TN	TENNCARE
4	4465405	OTHER	TN	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	TN0119	OTHER	TN	JOHN DEERE HEALTHCARE
8	TN0142	OTHER	TN	JOHN DEERE HEALTHCARE

General Provider Information

NPI Number	:	1235106584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN M. COVINO M.D.

Provider Business Mailing Address
First Line	:	1422 OLD WEISGARBER RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-1293
Country	:	US
Telephone Number	:	865-558-4400
Fax Number	:	865-558-4471

Provider Business Practice Location Address
First Line	:	1422 OLD WEISGARBER RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2674
Country	:	US
Telephone Number	:	865-558-4400
Fax Number	:	865-558-4471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	06/20/2017

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Directions to “ DR. BRIAN M. COVINO M.D.” Practice Location

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