Dr. Jesse Broderson is a Kailua Kona, Hawaii based male chiropractor with 22 years of experience in General Chiropractor. He completed his graduation from Life Chiropractic College - West in 2003. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Jesse Broderson as General Chiropractor is 978 in Hawaii. Dr. Jesse Broderson is qualified as 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.
Complete Profile:
Dr. Jesse Broderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
22+ years
Medical School Attended:
Life Chiropractic College - West
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
74-5620 Palani Rd Ste A, Suite 102, Kailua Kona, Hawaii, 96740-3640
Phone:
808-329-7797
Fax:
808-329-2748
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527056845
Enrollment ID:
I20040505000401
NPI Number:
1487738852
NPI Enumeration Date:
24 Oct, 2006
NPI Last Update On:
08 Jan, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jesse Broderson are as mentioned below.
License Number
Specialization
State
Status
978
Chiropractor
Hawaii
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jesse Broderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
244335
Other
Hawaii
HMSA PIN NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
74-5620a Palani Rd, Suite 102 Kailua Kona, Hawaii
Zip:
96740-3100
Phone Number:
808-329-7797
Fax Number:
808-329-2748
Patients can reach Dr. Jesse Broderson at 74-5620 Palani Rd Ste A, Suite 102, Kailua Kona, Hawaii or can call to book an appointment on 808-329-7797. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.