What is Mountain West Derm - Blackhart PLLC's NPI number?

Mountain West Derm - Blackhart PLLC's National Provider Identifier (NPI) is 1366018848, 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 4513 Williams Dr, Georgetown, TX 78633-1302.

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 (512) 930-3909.

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, President. 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 (1366018848) is active in the NPPES registry as of the last update on 2021-06-14.

OrganizationActiveAccepts Medicare

Mountain West Derm - Blackhart PLLC

NPI 1366018848 · Dermatology Physician · Georgetown, TX

Mountain West Derm - Blackhart PLLC is a Dermatology Physician organization in Georgetown, TX (NPI 1366018848).

Provider details

NPI number: 1366018848
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Bret Blackhart, President(775) 336-3624

Practice location

4513 Williams Dr

Georgetown, TX 78633-1302

Phone: (512) 930-3909

Fax: (512) 240-5469

Street-level locationGet directions

More TX providers

Mailing address

4513 Williams Dr

Georgetown, TX 78633-1302

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians
MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Vitalogy Skincare

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 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.

Enumerated: 2021-06-03
Last updated: 2021-06-14
Certified: 2021-06-14

Frequently asked questions

What is Mountain West Derm - Blackhart PLLC's NPI number?: Mountain West Derm - Blackhart PLLC's National Provider Identifier (NPI) is 1366018848, 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 4513 Williams Dr, Georgetown, TX 78633-1302.
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 (512) 930-3909.
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, President. 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 (1366018848) is active in the NPPES registry as of the last update on 2021-06-14.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions