Active NPI
Ora Orthopedics, PC
- Orthopaedic Surgery Physician
- Muscatine, IA
National Provider Identifier
1255873337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORA ORTHOPEDICS, PC
- Practice address
- 3426 N Port Dr Ste 400
Muscatine, IA 52761-2242 - Phone
- (563) 322-0971
- Fax
- (563) 324-0615
- NPI assigned
- Nov 7, 2016
- Last updated
- Mar 3, 2026
- Organization subpart
- Yes
- Parent organization
- ORA ORTHOPEDICS, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Brockman
- Title
- Ceo
- Phone
- (563) 322-0971
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Registered Nurse | 163W00000X | NU | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | NU | ||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | NU | ||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | NU | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | ||
| Podiatrist | 213E00000X | NU | ||
| Other Specialist/Technologist | 246Z00000X | NU | ||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | NU |
Addresses
Primary practice location
3426 N Port Dr Ste 400
Muscatine, IA 52761-2242
Mailing address
5250 Competition Drive
Bettendorf, IA 52722-8837
Phone (563) 322-0971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57821 | Other | IA | MEDICARE ID |
| 209395 | Other | IL | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040407001036 | IL | Part B Supplier - Clinic/Group Practice | 6406741784 |
Receives reassigned benefits from 123 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Geneseo, IL; Moline, IL; Rock Island, IL; Silvis, IL |
| O20170823002044 | IA | DME Supplier - Physician - Unknown Physician Specialty | 6406741784 | Practice locations: Muscatine, IA |
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba ORA Orthopedics Physical Therapy
- Physical Therapist
- Rock Island, IL
- NPI 1508645680
O20040407001036
National Provider Directory
National Provider Directory- Part of
- Ortho Rheuma Assoc PC
Locations
5250 Competition Dr
Bettendorf, IA 52722
Phone (563) 449-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1255873337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 COMPETITION DRIVE",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527228837",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 N PORT DR STE 400",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527612242",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORA ORTHOPEDICS, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORA ORTHOPEDICS, PC",
"enumeration_date": "2016-11-07",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "BROCKMAN",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "563-322-0971"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "57821",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "209395",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.