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Brian spent much of his time growing up in Trinity, NC, but also has childhood roots tracing back to Minnesota and Connecticut. He attended the University of North Carolina at Wilmington (Go Seahawks!) where he received a BS degree in biology while competing in track and cross country. He remained in North Carolina for medical school and attended Campbell University School of Osteopathic Medicine and then went on to complete his Family Medicine Residency at Wake Forest University. Throughout his training, he has provided coverage for Wake Forest University, Campbell University, Winston Salem State University, The Winston Salem Dash (minor league baseball), The Carolina Thunderbirds (minor league hockey), and many other local sporting events. Brian is thrilled to be joining the MAHEC family and for the opportunity to serve the very active Asheville community.

Brian loves building relationships with his patients and working with them to get back to doing the things they love. He has special interests in ultrasound & running biomechanics. In his spare time, he enjoys running with his wife Avery, woodworking, reading, and the friendly-competitive game of Spikeball!

Ronnie Otieno, aka "Oti," was born and raised in Kisumu, Kenya, by the shores of Lake Victoria, and considers himself a “Son of the Lake”. He commenced his higher education in the country’s capital, Nairobi, before relocating to the U.S. He has always been active, playing rugby and other sports.

Oti attended Washington University in St. Louis for his undergraduate studies, focusing on clinical research management. He then went to Kirksville College of Osteopathic Medicine (ATSU) for medical school. He completed his Family Medicine Residency at Creighton University in Phoenix, Arizona, in 2024.

Oti has been involved in numerous community projects, including working with St. Vincent’s De Paul Community Development Organization in Kibera, Kenya’s largest slum, and participating in various volunteer activities and outreach programs in St. Louis, MO, and Phoenix, AZ, as well as in Puerto Peñasco, Mexico amongst others.

Oti is delighted to be in Asheville and honored to join The MAHEC family in serving the wider WNC community.

Friendly Oti loves taking care of his patients and treats everyone with love and like family. He believes in the philosophy of seeking intentional happiness and living life to the fullest. Movement is medicine! He has a special interest in ultrasound, procedures and making healthcare accessible.