The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.

Brian Huff, D.O.
Very helpful. Very kind and courteous
Walter Jermakowicz, M.D.
Very down to earth Doctor. Honest and helpful. Friendly too! Thank you.
John Turnbull, M.D.
Nice Person....took good care of me....explained everything about my problems with my hands...
Heather Taillac, M.D.
Sweet, smart, efficient. She is confident and I trust her. She took her time and fully explained my problem in words that I can understand. She went above and beyond for me checking my hip replacement in addition to reviewing my wrist problems. 5 stars for my first visit!
Alyssa Ragland, FNP
She is very personable, nice, and attentive. I like her!
Walter Jermakowicz, M.D.
Very conversational explaining what needs to be done
Christopher A. Juels, D.P.M.
Dr juels was great answered my quetions
David Burstedt, M.D.
As always, Dr. Bursted was awesome, he has helped so much, my quality of life is so much better, Thank you.
Shawn Stachler, D.O.
Best doc i have and for good i hope
Matthew Finn, PA
Excellent, took time, answered all questions.