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
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 322-0971
Mailing address
2300 53RD AVE STE 100, BETTENDORF, IA 52722-7565
(563) 322-0971
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
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (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
Enumeration date
07/07/2017
Last updated
07/07/2017
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