Organization
ORA ORTHOPEDICS PC
Active
Parent organization
ORA ORTHOPEDICS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORA ORTHOPEDICS PC
Authorized official
KENNETH BROCKMAN (CEO)
(563) 322-0971
Entity
Organization
Contact information
Practice address
985 AVENUE OF THE CITIES STE 105, SILVIS, IL 61282-7001
(309) 762-3621
(309) 281-2609
Mailing address
520 VALLEY VIEW DR, MOLINE, IL 61265-6194
(309) 762-3621
(309) 762-3690
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
060006850
IL
246Z00000X
Other Specialist/Technologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/27/2006
Last updated
04/29/2024
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