Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jesse Broderson, DC

Individual provider Chiropractor · NPI 1487738852

Dr. Jesse Broderson, DC is a Chiropractic in Kailua Kona, Hawaii. Graduated from Life Chiropractic College - West in 2003, 23 years ago. Practices with Hogan and Broderson Chiropractic, a 2-clinician group. Licensed in Hawaii.

Years since qualifying
23
Trained at
Life Chiropractic College - West
Licensed in
HI
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

74-5620 Palani Rd Ste A Ste 102
Kailua Kona, HI 96740-3640
Phone: (808) 329-7797
Fax: (808) 329-2748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 978 (HI)

Record details

NPI number1487738852
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJanuary 8, 2011
Mailing address74-5620a Palani Rd, Suite 102, Kailua Kona, HI 96740-3100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 2003 (23 years in practice)
Group practice Hogan And Broderson Chiropractic — 2 clinicians
Accepts Medicare assignment Not indicated

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