NPIMap

Individual provider Active NPI

Kristin Bresowar, M.D.

  • Family Medicine Physician
  • Saltville, VA
National Provider Identifier
1003074071
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101255920 Issued in VA
Practice address
308 W Main St
Saltville, VA 24370-3112
Phone
(276) 496-4433
Fax
(276) 496-5923
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101255920 VA Primary

Addresses

Primary practice location

308 W Main St
Saltville, VA 24370-3112

Mailing address

PO Box 729
Saltville, VA 24370-0729
Phone (276) 496-4433

Other identifiers 1

IdentifierTypeStateIssuer
1952434383MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925001613 VA Practitioner - Family Practice 6709051527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Virginia Community Health Systems Incorporated 29 clinicians

Practice addresses (Care Compare)

308 W Main St
Saltville, VA 24370-3112
Phone (276) 496-4433

PO Box
Suite 729
Saltville, VA 24370

Hospital & facility affiliations

  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Russell County Hospital Hospital, Lebanon, VA, CCN 490002
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Community Health Systems Inc. CurrentSince Aug 18, 2014 Accepting new patients
Southwest Virginia Community Health Systems Incorporated Current Accepting new patients
Southwest Virginia Community Health Systems Inc. CurrentSince Aug 18, 2014 Accepting new patients

Locations

319 5th Ave
Saltville, VA 24370

308 W Main St
Saltville, VA 24370
Phone (276) 496-4433

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCDAA/Endpoint/HCCDAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCDAA

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saltville Medical CenterSaltville, VA, CCN 491809 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Southwest Virginia Community Health Systems IncTazewell, VA, CCN 491871 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Southwest Virginia Community Health Systems IncMeadowview, VA, CCN 491880 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Aug 18, 2014
Aug 18, 2014
Southwest Virginia Community Health Systems IncBristol, VA, CCN 491855 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Southwest Virginia Community Health Systems IncSaltville, VA, CCN 491948 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Aug 18, 2014
Aug 18, 2014
Southwest Virginia Community Health Systems IncBristol, VA, CCN 491968 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Saltville Elementary SchoolSaltville, VA, CCN 491976 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Northwood Middle SchoolSaltville, VA, CCN 491977 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Tazewell- New Day RecoveryTazewell, VA, CCN 491981 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Aug 18, 2014
Aug 18, 2014
Virginia High SchoolBristol, VA, CCN 491988 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Chilhowie Elementary SchoolChilhowie, VA, CCN 491003 Federally qualified health center W-2 Managing Employee Aug 18, 2014
John Battle High SchoolBristol, VA, CCN 491011 Federally qualified health center W-2 Managing Employee Aug 18, 2014
Chilhowie High SchoolChilhowie, VA, CCN 491023 Federally qualified health center W-2 Managing Employee Aug 18, 2014
High Point Elementary SchoolBristol, VA, CCN 491040 Federally qualified health center W-2 Managing Employee Aug 18, 2014

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1003074071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4433",
            "fax_number": "276-496-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W MAIN ST",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243703112",
            "telephone_number": "276-496-4433",
            "fax_number": "276-496-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESOWAR",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101255920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952434383",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltville, VA

Sources for this page

Verify at the official NPI Registry.