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
6101 NORTHWEST BLVD, DAVENPORT, IA 52806
(563) 322-0971
(563) 324-0615
Mailing address
5250 COMPETITION DRIVE, BETTENDORF, IA 52722-8837
(563) 322-0971
(563) 324-0615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
246Z00000X
Other Specialist/Technologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209395
MEDICARE ID
IL
01
—
57821
MEDICARE ID
IA
Enumeration date
09/01/2016
Last updated
03/03/2026
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