Broad Ripple Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

BROAD RIPPLE PEDIATRICS

Practice address

6527 Carrollton Ave
Indianapolis, IN 46220-1664

Phone

(317) 875-0009

Fax

(317) 875-3993

NPI assigned

Aug 29, 2025

Organization subpart

No

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

Authorized official

Name

Gary Halberstadt, DONPI 1164409322

Title

Doctor

Phone

(317) 875-0009

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Marshall Halberstadt, D.O.

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1164409322
  NPD Authorized official

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1962381376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201664",
            "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": "6527 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201664",
            "telephone_number": "317-875-0009",
            "fax_number": "317-875-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD RIPPLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "HALBERSTADT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "317-875-0009",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Brizendine, RBT
• Timothy J Broach, MD
• Broad Ripple Ave Chiropractic, P.C.
• Broad Ripple Dental Arts LLC
• Broad Ripple Family Dental, LLC
• Broad Ripple Pediatrics, LLC
• Jennifer L Broaddus, NP
• Scott Broadnax
• Jessica Broadstreet, PHARM.D.
• Tammi Broadus, LCSW

• Pediatric Adolescent Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Adolescent Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.