Mountain West Derm - Blackhart PLLC
NPI 1013557933 · Dermatology Physician · Spokane Valley, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain West Derm - Blackhart PLLC is a Dermatology Physician organization in Spokane Valley, WA (NPI 1013557933).
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
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
Mailing address
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
Frequently asked questions
- What is Mountain West Derm - Blackhart PLLC's NPI number?
- Mountain West Derm - Blackhart PLLC's National Provider Identifier (NPI) is 1013557933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain West Derm - Blackhart PLLC?
- Mountain West Derm - Blackhart PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain West Derm - Blackhart PLLC located?
- Mountain West Derm - Blackhart PLLC's practice location on file with NPPES is 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444.
- What is Mountain West Derm - Blackhart PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain West Derm - Blackhart PLLC is (509) 456-7414.
- Does Mountain West Derm - Blackhart PLLC accept Medicare?
- Mountain West Derm - Blackhart PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain West Derm - Blackhart PLLC?
- The authorized official listed on Mountain West Derm - Blackhart PLLC's NPPES record is Bret Blackhart, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain West Derm - Blackhart PLLC's NPI active?
- Yes — Mountain West Derm - Blackhart PLLC's NPI (1013557933) is active in the NPPES registry as of the last update on 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.