Gary Marshall Halberstadt, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

02000755A Issued in IN

Practice address

8091 Township Line Rd
#107
Indianapolis, IN 46260-2494

Phone

(317) 875-0009

Fax

(317) 875-3993

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Broad Ripple Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Indianapolis, IN
  • NPI 1962381376
  NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164409322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE RD",
            "address_2": "#107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602494",
            "telephone_number": "317-875-0009",
            "fax_number": "317-875-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE RD",
            "address_2": "#107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602494",
            "telephone_number": "317-875-0009",
            "fax_number": "317-875-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERSTADT",
        "first_name": "GARY",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "02000755A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Reza Hajrasouliha, MD
• Ann M Hake, MD
• Jessie Hake
• Rachel Leigh Christie Hakemi
• Halal Care USA LLC (Halal Home Care)
• Angela Halbig, RD
• Emily Gail Halcomb
• Taylor Hale-McKinney
• Kachelle Hale-Stewart
• Alise Elizabeth Hale

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.