Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad Ripple Pediatrics

Organization Pediatric Adolescent Medicine Physician · NPI 1962381376

Broad Ripple Pediatrics is a Pediatric Adolescent Medicine Physician in Indianapolis, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6527 Carrollton Ave
Indianapolis, IN 46220-1664
Phone: (317) 875-0009
Fax: (317) 875-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1962381376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Halberstadt — Doctor · (317) 875-0009
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address6527 Carrollton Ave, Indianapolis, IN 46220-1664

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