Provider Demographics
NPI:1043217334
Name:SAVAGE, BRIAN J (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 PARK 40 NORTH BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-3624
Mailing Address - Country:US
Mailing Address - Phone:865-692-3462
Mailing Address - Fax:865-670-6333
Practice Address - Street 1:320 PARK 40 NORTH BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-3624
Practice Address - Country:US
Practice Address - Phone:865-692-3462
Practice Address - Fax:865-670-6333
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079343S207RN0300X
TN72390207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4349543Medicaid
OH0406317OtherUNITED HEALTHCARE
OH000000205143OtherANTHEM
OH04003OtherPARAMOUNT
OH2253636Medicaid
OH725364Medicaid
MI4349543Medicaid
OH0406317OtherUNITED HEALTHCARE
OHH40978Medicare UPIN
OH4054381Medicare PIN