OrganizationActive
Mountain West Derm - Blackhart PLLC
NPI 1013557933 · Dermatology Physician · Spokane Valley, WA
Provider details
- NPI number
- 1013557933
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bret Blackhart, Owner(775) 336-3624
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone: (509) 456-7414
Fax: (509) 624-0763
Street-level locationGet directions
Mailing address
1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Other names (DBA / former)
- Doing business as
- Advanced Dermatology & Skin Surgery
Additional practice locations (2)
- 1700 W Riverstone DrCoeur D Alene, ID 83814-5683Phone: (208) 770-2822Fax: (208) 770-2911
- 5905 N Mayfair St Ste 200Spokane, WA 99208-1127Phone: (509) 456-7414Fax: (509) 624-0764
Registry dates
- Enumerated
- 2020-01-08
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.