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BROAD RIPPLE PEDIATRICS
NPI 1962381376
Pediatrics - Adolescent Medicine in Indianapolis, IN

Active since August 29, 2025
6527 CARROLLTON AVE, INDIANAPOLIS, IN 46220(317) 875-0009(317) 875-3993 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broad Ripple Pediatrics NPPES

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

BROAD RIPPLE PEDIATRICS (NPI 1962381376) is a healthcare organization registered as an adolescent medicine in Indianapolis, Indiana and active in the NPI registry since August 2025. The organization lists Gary Halberstadt, Doctor, as its authorized official.

NPPES Registry Identity

NPI1962381376
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBROAD RIPPLE PEDIATRICS
Location Address6527 CARROLLTON AVEIndianapolis, IN 46220-1664
Mailing Address6527 Carrollton AveIndianapolis, IN 46220-1664 · (317) 875-0009 · Fax (317) 875-3993
Phone(317) 875-0009
Fax(317) 875-3993
Organization SubpartNo
Authorized OfficialGary HalberstadtDoctor · (317) 875-0009
Enumeration DateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1962381376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
6527 CARROLLTON AVE, Indianapolis, IN 46220
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

BR PEDIATRICS, LLC
Pediatrics
6527 CARROLLTON AVE
INDIANAPOLIS, IN 46220
Marion County (317) 504-6272
BROAD RIPPLE PEDIATRICS, LLC
Pediatrics
6527 CARROLLTON AVE
INDIANAPOLIS, IN 46220
Marion County (317) 881-8737
ALICYN D ROBB MD
Pediatrics
6527 CARROLLTON AVE
INDIANAPOLIS, IN 46220
Marion County (317) 875-0009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broad Ripple Pediatrics's NPI number?

The NPI number for Broad Ripple Pediatrics is 1962381376. It was assigned to this organization in the NPPES registry on August 29, 2025.

Where is Broad Ripple Pediatrics located?

Broad Ripple Pediatrics is located at 6527 Carrollton Ave, Indianapolis, IN 46220. The listed phone number is (317) 875-0009.

What is Broad Ripple Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Broad Ripple Pediatrics was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.