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Contact Information

BROAD RIPPLE PEDIATRICS
6527 CARROLLTON AVE
INDIANAPOLIS, IN46220-1664
 Phone: 317-875-0009
 Fax: 317-875-3993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BROAD RIPPLE PEDIATRICS

NPI Number 1962381376
LBN Legal business name BROAD RIPPLE PEDIATRICS
Authorized official GARY HALBERSTADT - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2025
Last updated 08/29/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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