# ORA ORTHOPEDICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORA ORTHOPEDICS, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043281355
- **Legal business name:** ORA ORTHOPEDICS, PC
- **Authorized official:** KENNETH BROCKMAN (CEO)
- **Authorized official phone:** (563) 322-0971

## Contact information

- **Practice address:** 900 14TH ST, DE WITT, IA 52742-1004
- **Practice address phone:** (563) 659-9131
- **Practice address fax:** (563) 659-3237
- **Mailing address:** 5250 COMPETITION DRIVE, BETTENDORF, IA 52722-8837
- **Mailing address phone:** (563) 322-0971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | 060006850 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 03/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0073734 | — | IA |