# ORA ORTHOPEDICS, PC

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

## Provider details

- **NPI number:** 1639159700
- **Legal business name:** ORA ORTHOPEDICS, PC
- **Authorized official:** KENNETH BROCKMAN (CEO)
- **Authorized official phone:** (563) 322-0971

## Contact information

- **Practice address:** 621 5TH STREET, DURANT, IA 52747
- **Practice address phone:** (563) 785-6958
- **Practice address fax:** (563) 785-6929
- **Mailing address:** 2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722-7564
- **Mailing address phone:** (563) 322-0971
- **Mailing address fax:** (563) 324-0615

## 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:** 01/17/2006
- **Last updated:** 12/09/2010