Kristin Elizabeth Bredhold, DO
Individual provider Active NPI Family Medicine Physician · Indianapolis, IN
NPI 1316634165 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1316634165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02009144A (IN)
- Practice address
- 720 Eskenazi Ave
Indianapolis, IN 46202-5187 - Phone
- (317) 880-3939
- Fax
- (317) 880-0343
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Marian University College of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Cincinnati, OH 45263
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Wellbrooke of South Bend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626000218 | IN | Practitioner - Family Practice | 0547627077 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 02009144A | IN | Yes |
Addresses
Primary practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939
Other practice location 1
714 N Michigan St
South Bend, IN 46601-1035
Phone (574) 647-7477
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbredhold153503@direct.eskenazihealth.edu |
Other providers in Indianapolis, IN
- Patricia Breaziel
- Jennifer Brechbuhl
- Brittany J Brechtl
- Jeffrey D Breckenridge
- Francine D Breckler
- Tammy Bree
- Whitney Breeding
- Pamela Marie Breedlove
- Elizabeth Anne Breen
- Alison Breeze
All providers in Indianapolis, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.