National Provider Identifier Database

BROAD RIPPLE PEDIATRICS
Adolescent Medicine

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.


Contact Information

BROAD RIPPLE PEDIATRICS
6527 CARROLLTON AVE
INDIANAPOLIS, IN46220-1664
Phone: 317-875-0009
Fax: 317-875-3993
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for BROAD RIPPLE PEDIATRICS

NPI Number 1962381376
Legal business name
LBN
BROAD RIPPLE PEDIATRICS
Authorized official GARY HALBERSTADT - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 08/29/2025
Last updated 08/29/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BROAD RIPPLE PEDIATRICS

There are currently no reviews for BROAD RIPPLE PEDIATRICS


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