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

Dr. Shannon Marie Broderson, DC

Individual provider Chiropractor · NPI 1194888552

Dr. Shannon Marie 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 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 DC977 (HI)

Record details

NPI number1194888552
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

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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