OrganizationActive
Broad Ripple Pediatrics
NPI 1962381376 · Pediatric Adolescent Medicine Physician · Indianapolis, IN
Provider details
- NPI number
- 1962381376
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Halberstadt, Doctor(317) 875-0009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6527 Carrollton Ave
Indianapolis, IN 46220-1664
Phone: (317) 875-0009
Fax: (317) 875-3993
Approximate (ZIP-level) locationGet directions
Mailing address
6527 Carrollton Ave
Indianapolis, IN 46220-1664
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.