Mountain West Derm-Blackhart, PLLC
NPI 1548758501 · Dermatology Physician · Boise, ID
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 Boise, ID (NPI 1548758501).
Provider details
- NPI number
- 1548758501
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mountain West Derm-Blackhart, PLLC
- Organization subpart
- Yes
- Authorized official
- Bret Blackhart, Owner(775) 336-3624
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
8 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
- Dermatology Clinic of Idaho
Registry dates
- Enumerated
- 2018-04-25
- Last updated
- 2018-04-25
Frequently asked questions
- What is Mountain West Derm-Blackhart, PLLC's NPI number?
- Mountain West Derm-Blackhart, PLLC's National Provider Identifier (NPI) is 1548758501, 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 7733 W Emerald St, Boise, ID 83704-9020.
- 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 (208) 939-4599.
- 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 (1548758501) is active in the NPPES registry as of the last update on 2018-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.