BRIAN WALTER PETERSEN (NPI# 1861693095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861693095 |
| Entity Type | Individual |
| Full Name | BRIAN WALTER PETERSEN |
| Credential | D.O. |
| Practice Address |
1589 Sparta St Suite 203b Mcminnville TN 37110-1390 |
| Mailing Address |
501 Great Circle Rd Ste. 200 Nashville TN 37228 |
| Practice Telephone | 9316684585 |
| Practice Fax Number | 9316684586 |
| Mailing Telephone | 9314739624 |
| Mailing Fax Number | 9314737718 |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2015-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2291 | TN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | TL1160 | WY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659544773 | Brian Lamar Petersen | Social Worker | 3724 S 2000 E, Salt Lake City, UT 84109-3318 | 2008-04-09 |
| 1619066891 | Brian S Petersen | Chiropractor | 151 Ne State Route 300, Belfair, WA 98528 | 2006-10-12 |
| 1972141661 | Brian Douglas Petersen | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182-1102 | 2019-12-13 |
| 1093070179 | Brian Woodford Petersen | Dermatology | 2045 N Franklin St, Denver, CO 80205-5437 | 2012-07-05 |
| 1215169818 | Brian A Petersen | Psychologist | 412 6th Ave, #610, New York, NY 10011-8409 | 2009-08-14 |
| 1538138516 | Brian Petersen | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2006-03-14 |
| Street Address |
1589 SPARTA ST SUITE 203B |
| City | MCMINNVILLE |
| State | TN |
| Zip Code | 37110-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134477094 | B P Ortho PC | Orthopaedic Surgery | 1589 Sparta St, Suite 203b, Mcminnville, TN 37110-1390 | 2012-08-27 |
| 1043568900 | Peterson Bone and Joint Institute PC | Orthopaedic Surgery | 1589 Sparta St, Suite 203a, Mcminnville, TN 37110-1390 | 2012-08-27 |
| 1609137587 | Angela Danielle Moore | Nurse Practitioner | 1589 Sparta St, Suite 104, Mcminnville, TN 37110-1390 | 2012-06-06 |
| 1417236571 | Lacey L Jones | Nurse Practitioner | 1589 Sparta St, Suite 307, Mcminnville, TN 37110-1390 | 2011-08-08 |
| 1902184492 | Central Tennessee Foot and Ankle Center LLC | Podiatrist | 1589 Sparta St, Suite 205, Mcminnville, TN 37110-1390 | 2011-08-01 |
| 1306142716 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 1589 Sparta St, Ste 306, Mcminnville, TN 37110-1390 | 2011-02-02 |
| 1649591264 | Cumberland Plateau General Surgery, Pllc | Surgery | 1589 Sparta St, Ste 305, Mcminnville, TN 37110-1390 | 2010-06-17 |
| 1245435478 | Linda A Foster Md | Family Medicine | 1589 Sparta St, Suite 201, Mcminnville, TN 37110-1332 | 2007-06-18 |
| 1952454332 | Judy Gayle Cole | Family Medicine | 1589 Sparta St, Suite 201, Mcminnville, TN 37110-1332 | 2007-01-19 |
| 1154408920 | Philip James Ludwig | Surgery | 1589 Sparta St, Ste 106, Mcminnville, TN 37110 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1598319055 | Ashley Nicole Hobbs | Registered Nurse | 1401 Sparta Street, Mcminnville, TN 37110 | 2019-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1811225568 | Mcminnville Boarding Home for The Elderly | Assisted Living Facility | 345 Garfield St., Mcminnville, TN 37110 | 2009-11-18 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1144383522 | Britt Allan King | Occupational Therapist | 128 Old Smithville Hwy, Mcminnville, TN 37110 | 2006-12-18 |
| 1952478992 | Jeanne Kay Ball | Physical Therapy Assistant | Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| 1760559702 | Amy Cheryl Fox | Occupational Therapy Assistant | Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| Find all providers in zip 37110 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669689949 | Jeffrey Scott Peterson | Orthopaedic Surgery | 3085 Sparta St, Mcminnville, TN 37110-1364 | 2007-05-17 |
| 1962450601 | Christopher A. Blake | Orthopaedic Surgery | 355 Se Baker St, Mcminnville, OR 97128-6039 | 2006-05-05 |
| 1396714135 | Mark Kiernan Thomas | Orthopaedic Surgery | 2700 Se Stratus Ave Unit 303, Mcminnville, OR 97128-6257 | 2006-03-15 |
| 1013437862 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2017-06-22 |
| 1861872434 | Akf Orthopaedics PC | Orthopaedic Surgery | 3085 Sparta St, Mcminnville, TN 37110-1364 | 2015-06-08 |
| 1134477094 | B P Ortho PC | Orthopaedic Surgery | 1589 Sparta St, Suite 203b, Mcminnville, TN 37110-1390 | 2012-08-27 |
| 1043568900 | Peterson Bone and Joint Institute PC | Orthopaedic Surgery | 1589 Sparta St, Suite 203a, Mcminnville, TN 37110-1390 | 2012-08-27 |
| 1851599849 | Elizabeth Ackerman | Orthopaedic Surgery | 355 Se Baker St, Mcminnville, OR 97128-6039 | 2007-07-11 |
| 1255532859 | Christopher A. Blake, Md, PC | Orthopaedic Surgery | 355 Se Baker St, Mcminnville, OR 97128-6039 | 2007-05-30 |
| 1831260678 | Michael Brent Vessely | Orthopaedic Surgery | 2700 Se Stratus Ave, Suite 403, Mcminnville, OR 97128-6255 | 2006-11-13 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 37110 |
Please comment or provide details below to improve the information on BRIAN WALTER PETERSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.