Individual provider · Type 1 NPI
Brian Walter Petersen, DO
Orthopaedic Surgery Physician · Manchester, TN
Practice location
482 Interstate Dr Ste 102
Manchester, TN 37355-3485
Fax (931) 735-6456
Mailing address
111 Mosby Ct
Shelbyville, TN 37160-7179
Other practice locations
- 730 Kings Ln, Tullahoma, TN 37388-5371 · (931) 841-9200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X | 2291 (TN) |
| Orthopaedic Surgery Physician | 207X00000X | TL1160 (WY) |
Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…
About NPI 1861693095
Brian Walter Petersen, DO's National Provider Identifier is 1861693095, issued on May 28, 2007. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Manchester, TN. The record was last updated on Sep 30, 2025.