Healthcare Provider Details

I. General information

NPI: 1043217334
Provider Name (Legal Business Name): BRIAN J SAVAGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 12/16/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PARK 40 NORTH BLVD SUITE A
KNOXVILLE TN
37923-3624
US

IV. Provider business mailing address

320 PARK 40 NORTH BLVD SUITE A
KNOXVILLE TN
37923-3624
US

V. Phone/Fax

Practice location:
  • Phone: 865-692-3462
  • Fax: 865-670-6333
Mailing address:
  • Phone: 865-692-3462
  • Fax: 865-670-6333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35079343S
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number72390
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: