Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIN ELIZABETH BREDHOLD DO
NPI 1316634165
Family Medicine in Indianapolis, IN

Q: What is Kristin Bredhold's NPI number?

The NPI number for Kristin Bredhold is 1316634165. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Q: What is Kristin Bredhold's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Bredhold was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 April 21, 2023PECOS Enrolled

720 ESKENAZI AVE, INDIANAPOLIS, IN 46202(317) 880-3939(317) 880-0343 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Jul 7, 2026 (2 updates tracked since 2026).

On this page

About Kristin Elizabeth Bredhold Do NPPES

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

KRISTIN ELIZABETH BREDHOLD DO (NPI 1316634165) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (02009144A) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316634165

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKRISTIN ELIZABETH BREDHOLDCredential: DO

Location Address720 ESKENAZI AVEIndianapolis, IN 46202-5187

Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939 · Fax (317) 880-0343

Phone(317) 880-3939

Fax(317) 880-0343

Sole ProprietorNo

Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2023

Enumeration DateApril 21, 2023

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1316634165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 02009144A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

720 ESKENAZI AVE, Indianapolis, IN 46202

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-3939 · Fax (317) 880-0343

Location 2714 N Michigan StSouth Bend, IN 46601-1035 · Phone (574) 647-7477

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Elizabeth Bredhold Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547627077

PECOS Enrollment IDI20260626000218

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. ALEXIS A DAVIS LCSW

Marriage & Family Therapist