DR. SHANNON MARIE BRODERSON D.C.
NPI 1194888552
Chiropractor in Kailua Kona, HI

Q: What is Shannon Broderson's NPI number?

The NPI number for Shannon Broderson is 1194888552. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Dr. Shannon Marie Hogan D.C..

Q: What is Shannon Broderson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Broderson was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 18, 2006

74-5620 PALANI RD, SUITE 102, KAILUA KONA, HI 96740(808) 329-7797(808) 329-2748 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Shannon Marie Broderson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON MARIE BRODERSON D.C. (NPI 1194888552) is an individual chiropractor in Kailua Kona, Hawaii, licensed in Hawaii (DC977) and active in the NPI registry since December 2006. She is a graduate of Life Chiropractic College - West (2003).

NPPES Registry Identity

NPI1194888552

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. SHANNON MARIE BRODERSONCredential: D.C.

Location Address74-5620 PALANI RD, SUITE 102Kailua Kona, HI 96740-3640

Mailing Address74-5620 Palani Rd, Suite 102Kailua Kona, HI 96740-3640 · (808) 329-7797 · Fax (808) 329-2748

Phone(808) 329-7797

Fax(808) 329-2748

Sole ProprietorYes

Medical School CMSLife Chiropractic College - WestGraduated 2003

Enumeration DateDecember 18, 2006

Last NPPES UpdateJune 15, 2023

NPPES CertifiedJune 15, 2023

✔ NPI 1194888552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in HI · DC977

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

74-5620 PALANI RD, Kailua Kona, HI 96740

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Other Names 1

Former Name (1)Dr. Shannon Marie Hogan D.c.

Other Identifiers 2

Other244327HI · Hmsa Number

OtherH56328HI · P-tan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Marie Broderson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628066933

PECOS Enrollment IDI20040505000387

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARMAND J. WOHL M.D.

Internal Medicine (Cardiovascular Disease)

74-5620 PALANI RD, SUITE 100
KAILUA KONA, HI 96740

Hawaii County (808) 331-8860

WALTER J WANG MD

Family Medicine

74-5620 PALANI RD, SUITE 100
KAILUA-KONA, HI 96740

Hawaii County (808) 331-8860

AMY EMILY KNIGHTS

Behavior Technician

74-5620 PALANI RD
KAILUA KONA, HI 96740

Hawaii County (808) 731-9006

MRS. JENNIFER DIANE BRODERSON L.M.T.

Specialist

74-5620 PALANI RD, SUITE 102
KAILUA KONA, HI 96740

Hawaii County (808) 329-7797

HEALTHY PREFERRED INC

Emergency Medicine

74-5620 PALANI RD, STE 212
KAILUA KONA, HI 96740

Hawaii County (888) 406-8555

BENJAMMIN TOTTEN

Behavior Technician

74-5620 PALANI RD
KAILUA KONA, HI 96740

Hawaii County (808) 331-2273

DR. PHILIP DAVID MIRANDA D.C.

Chiropractor

74-5620 PALANI RD, STE. 102
KAILUA KONA, HI 96740

Hawaii County (808) 331-1205

MIRANDA CHIROPRACTIC

Chiropractor

74-5620 PALANI RD, STE.102
KAILUA KONA, HI 96740

Hawaii County (808) 331-1205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Broderson's NPI number?

The NPI number for Shannon Broderson is 1194888552. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Dr. Shannon Marie Hogan D.C..

Where is Shannon Broderson located?

Shannon Broderson practices at 74-5620 Palani Rd Suite 102, Kailua Kona, HI 96740. The listed phone number is (808) 329-7797.

What is Shannon Broderson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Shannon Broderson enrolled in Medicare?

Yes. Shannon Broderson is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Broderson accept?

Health plans from HMSA and Providence Health Plan list Shannon Broderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Broderson was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.