IndividualActive
Tyler Burpee, MD
NPI 1700810454 · Pediatric Gastroenterology Physician · Boise, ID
Provider details
- NPI number
- 1700810454
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 228002 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 E Idaho St
Ste 316
Boise, ID 83712-6267
Phone: (208) 381-7310
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2013-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.