IndividualActive
Brian Petersen, D.O.
NPI 1861693095 · Orthopaedic Surgery Physician · Manchester, TN
Provider details
- NPI number
- 1861693095
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2291 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
482 Interstate Dr Ste 102
Manchester, TN 37355-3485
Phone: (931) 488-8700
Fax: (931) 735-6456
Approximate (ZIP-level) locationGet directions
Mailing address
111 Mosby Ct
Shelbyville, TN 37160-7179
Additional practice locations (1)
- 730 Kings LnTullahoma, TN 37388-5371Phone: (931) 841-9200Fax: (931) 841-9216
Registry dates
- Enumerated
- 2007-05-28
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.