Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ty Bolton Erickson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1083783823

Dr. Ty Bolton Erickson, MD is an Obstetrics/Gynecology in Idaho Falls, Idaho. Graduated from University of Nevada School of Medicine in 1983, 43 years ago. Practices with William Bee Ririe Hospital, a 40-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
43
Trained at
University of Nevada School of Medicine
Licensed in
ID, UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

808 Pancheri Dr
Idaho Falls, ID 83402-3344
Phone: (208) 552-6900
Fax: (208) 552-4973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M-6628 (ID)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 6388670-1205 (UT)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X · Licence M6628 (ID)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X · Licence 6388670-1205 (UT)

Record details

NPI number1083783823
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESSeptember 9, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice William Bee Ririe Hospital — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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