Shannon Marie Broderson, D.C.
NPI 1194888552ActiveIndividual· Chiropractor· Kailua Kona, HI
Chiropractor (D.C.) in Kailua Kona, Hawaii, trained at Life Chiropractic College - West (class of 2003). Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1194888552 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | Yes |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Jun 15, 2023 |
| Certified by provider | Jun 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | DC977 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (HI) |
|---|
Education and affiliations
| Medical school | Life Chiropractic College - West |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Chiropractic |
Medical group
- Hogan and Broderson ChiropracticKailua Kona, HI · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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