High Valley Dermatology & Dermatologic Surgery PLLC
NPI 1063840288 · MOHS-Micrographic Surgery Physician · Idaho Falls, ID
High Valley Dermatology & Dermatologic Surgery PLLC is a MOHS-Micrographic Surgery Physician organization in Idaho Falls, ID (NPI 1063840288).
Provider details
- NPI number
- 1063840288
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandon Miner, Office Manager(208) 525-4888
- License
- O-0568 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2013-10-25
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Frequently asked questions
- What is High Valley Dermatology & Dermatologic Surgery PLLC's NPI number?
- High Valley Dermatology & Dermatologic Surgery PLLC's National Provider Identifier (NPI) is 1063840288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is High Valley Dermatology & Dermatologic Surgery PLLC?
- High Valley Dermatology & Dermatologic Surgery PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is High Valley Dermatology & Dermatologic Surgery PLLC located?
- High Valley Dermatology & Dermatologic Surgery PLLC's practice location on file with NPPES is 2085 Providence Way, Idaho Falls, ID 83404-4945.
- What is High Valley Dermatology & Dermatologic Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for High Valley Dermatology & Dermatologic Surgery PLLC is (208) 525-4888.
- Who is the authorized official for High Valley Dermatology & Dermatologic Surgery PLLC?
- The authorized official listed on High Valley Dermatology & Dermatologic Surgery PLLC's NPPES record is Brandon Miner, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is High Valley Dermatology & Dermatologic Surgery PLLC's NPI active?
- Yes — High Valley Dermatology & Dermatologic Surgery PLLC's NPI (1063840288) is active in the NPPES registry as of the last update on 2026-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.