Healthcare Provider Details

I. General information

NPI: 1104027937
Provider Name (Legal Business Name): BRIAN MICHAEL TONNE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ACCELERATOR WAY STE 200
KNOXVILLE TN
37920-3078
US

IV. Provider business mailing address

1600 ACCELERATOR WAY STE 200
KNOXVILLE TN
37920-3078
US

V. Phone/Fax

Practice location:
  • Phone: 865-546-2663
  • Fax: 865-546-9047
Mailing address:
  • Phone: 865-546-2663
  • Fax: 865-546-9047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number48608
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number48608
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: