Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD24800 | TN |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 24800 | TN |
NPI | 1235106584 |
---|---|
Provider Name | Dr. Brian M. Covino |
First Address | Knoxville, TN 37909-1293 |
Second Address | Knoxville, TN 37909-2674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 20/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100010010 | TENNCARE (01) | TN |
1193933 | UNITED HEALTH CARE (01) | TN |
200029920 | RAILROAD MEDICARE (01) | TN |
3071386 | BLUE CROSS BLUE SHIELD (01) | TN |
3077324 | (05) | TN |
4465405 | AETNA (01) | TN |
F64794 | (02) | |
TN0119 | JOHN DEERE HEALTHCARE (01) | TN |
TN0142 | JOHN DEERE HEALTHCARE (01) | TN |