BROAD RIPPLE PEDIATRICS – NPI #1962381376
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

BROAD RIPPLE PEDIATRICS is a provider located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1962381376 to BROAD RIPPLE PEDIATRICS on August 29, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROAD RIPPLE PEDIATRICS below.

NPI Profile for
BROAD RIPPLE PEDIATRICS

NPI Number
1962381376
Enumeration Date

(about 9 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROAD RIPPLE PEDIATRICS
Primary location
6527 CARROLLTON AVE
INDIANAPOLIS, IN 46220-1664
Phone: (317) 875-0009 Fax: (317) 875-3993
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GARY HALBERSTADT
DOCTOR
Phone: (317) 875-0009
Updated
Certification Date
Aug 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.