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DR. JESSE BRODERSON D.C.
NPI 1487738852
Chiropractor in Kailua Kona, HI

Active since October 24, 2006
74-5620 PALANI RD STE A, SUITE 102, KAILUA KONA, HI 96740(808) 329-7797(808) 329-2748 Get Directions Write a Review

NPPES record last updated: January 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jesse Broderson D.c. NPPES

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

DR. JESSE BRODERSON D.C. (NPI 1487738852) is an individual chiropractor in Kailua Kona, Hawaii, licensed in Hawaii (978) and active in the NPI registry since October 2006. He is a graduate of Life Chiropractic College - West (2003).

NPPES Registry Identity

NPI1487738852
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JESSE BRODERSONCredential: D.C.
Location Address74-5620 PALANI RD STE A, SUITE 102Kailua Kona, HI 96740-3640
Mailing Address74-5620a Palani Rd, Suite 102Kailua Kona, HI 96740-3100 · (808) 329-7797 · Fax (808) 329-2748
Phone(808) 329-7797
Fax(808) 329-2748
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2003
Enumeration DateOctober 24, 2006
Last NPPES UpdateJanuary 8, 2011
✔ NPI 1487738852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in HI · 978
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 STE A, Kailua Kona, HI 96740
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINU99035HI
Other244335HI · Hmsa Pin Number
Medicare ID-Type UnspecifiedH56324HI · Medicare Identifier

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8527056845
PECOS Enrollment IDI20040505000401

Medicare Billing Reassignment

Medicare enrollment records show Jesse Broderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hogan And Broderson Chiropractic
Same address
Chiropractor
74-5620 PALANI RD STE 102
Kailua Kona, HI 96740
  • Reassigned Medicare billing, Hawaii enrollment
  • 2 clinicians in this Medicare group
NPI 1255483954 (808) 329-7797

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
339 services69 patients

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 Jesse Broderson's NPI number?

The NPI number for Jesse Broderson is 1487738852. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Jesse Broderson located?

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

What is Jesse Broderson's specialty?

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

Is Jesse Broderson enrolled in Medicare?

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

Which organization bills Medicare for Jesse Broderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Broderson reassigns Medicare benefits to Hogan And Broderson Chiropractic (Kailua Kona, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Broderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Broderson accept?

Health plans from HMSA and Providence Health Plan list Jesse 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 Jesse Broderson was last updated on January 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.