Mountain West Derm - Blackhart PLLC
NPI 1366018848 · Dermatology Physician · Georgetown, TX
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 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
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Profile Score
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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vitalogy Skincare
Registry dates
- 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.