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)
(309) 762-3621
Entity
Organization
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6194
(309) 762-3621
(309) 762-3690
Mailing address
520 VALLEY VIEW DR, MOLINE, IL 61265-6194
(309) 762-3621
(309) 762-3690
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
060006850
IL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
246ZS0410X
Surgical Technologist
—
—
247200000X
Other Technician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073734
—
IA
01
—
37772
WELLMARK
IA
01
—
57821
WELLMARK
IA
01
—
58091
WELLMARK
IA
01
—
58104
WELLMARK
IA
01
—
58109
WELLMARK
IA
01
—
8121085
BCBS-IL
IL
01
—
91376
WELLMARK
IA
01
—
92231
WELLMARK
IA
01
—
99204
WELLMARK
IA
01
—
CD9661
RR MEDICARE
IA
01
—
CN0248
RR MEDICARE
ID
Enumeration date
01/10/2006
Last updated
05/14/2026
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