Brian Walter Petersen

D.O. | Orthopedic Surgery | 21+ years Exp



Medicare Enrolled
 482 Interstate Dr Ste 102, Manchester
    Tennessee, 37355-3485

 931-488-8700    931-735-6456   Maps & Directions
Brian Walter Petersen is a Manchester, Tennessee based orthopedic surgeon with 21 years of experience in Orthopedic Surgery. He completed his graduation from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2004. He is also affiliated with hospitals like Tennova Healthcare-shelbyville and Tennova Healthcare-harton. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brian Walter Petersen is 2291 for Orthopedic Surgery in Tennessee.
Brian Walter Petersen 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 including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Brian Walter Petersen speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Orthopedic Surgery
Credentials: D.O.
Experience: 21+ years
Medical School Attended:At Still University Of Health Sciences, College Of Osteo Med, Kirksville
Graduation Year:2004
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:482 Interstate Dr Ste 102, Manchester,
Tennessee, 37355-3485
Phone:931-488-8700
Fax:931-735-6456
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3375697386
Enrollment ID: I20110906000149
NPI Number: 1861693095
NPI Enumeration Date: 28 May, 2007
NPI Last Update On: 30 Sep, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian Walter Petersen are as mentioned below.
License NumberSpecializationStateStatus
2291Orthopedic Surgery TennesseePrimary
TL1160Orthopedic Surgery WyomingSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Tennova Healthcare-shelbyville (440137)Shelbyville, TNAcute Care Hospital
Tennova Healthcare-harton (440144)Tullahoma, TNAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brian Walter Petersen is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Advanced Diagnostic Imaging Pc (7315848140)512
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 111 Mosby Ct,
Shelbyville, Tennessee
Zip: 37160-7179
Phone Number: --
Fax Number: --
Patients can reach Brian Walter Petersen at 482 Interstate Dr Ste 102, Manchester, Tennessee or can call to book an appointment on 931-488-8700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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Similar in Manchester, TN No other Orthopedic Doctor is available in Manchester, TN.