Brian Walter Petersen, DO
Brian Walter Petersen, DO is an Orthopedic Surgery in Manchester, Tennessee. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2004, 22 years ago. Practices with Coffee Medical Group LLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Wyoming.
- Years since qualifying
- 22
- Trained at
- At Still University of Health Sciences, College of Osteo Med, Kirksville
- Licensed in
- TN, WY
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
482 Interstate Dr Ste 102Manchester, TN 37355-3485
Phone: (931) 488-8700
Fax: (931) 735-6456
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 730 Kings Ln, Tullahoma, TN 37388-5371 — (931) 841-9200
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 2291 (TN) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence TL1160 (WY) |
Record details
| NPI number | 1861693095 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | May 28, 2007 |
| Last updated in NPPES | September 30, 2025 |
| Certification date | September 30, 2025 |
| Mailing address | 111 Mosby Ct, Shelbyville, TN 37160-7179 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE |
| Graduated | 2004 (22 years in practice) |
| Group practice | Coffee Medical Group Llc — 23 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Manchester
-
Tennessee Orthopaedic Alliance PA
1034 McArthur St, Manchester, TN 37355-2454 · (615) 896-6800
-
Unity Multi-Specialty Group
482 Interstate Dr Ste A, Manchester, TN 37355-3409 · (931) 728-4718