P Praxis·MD
● Active Type 2 · Organization

High Valley Dermatology & Dermatologic Surgery Pllc

Dermatology·Idaho Falls, ID· NPI 1063840288 · Enumerated 2013 · 12 years on NPI
High Valley Dermatology & Dermatologic Surgery Pllc is 1 of 14 dermatology organizations in Idaho.
NPI age
12 years
Enumerated 2013-10-25
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miner
Office Manager
Last NPPES update
2026-04-13
Source: monthly bulk 2026-05

How this organization compares

Across 14 active dermatology providers in Idaho.

NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-10Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
2085 Providence Way
Idaho Falls, ID 834044945
📞 2085254888
Mailing address
2085 Providence Way
Idaho Falls, ID 834044945

Authorized official

Brandon Miner, D.O.
Office Manager
📞 2085254888

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dermatology Primary
    The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased...
    ID license #O-0568 taxonomy 207ND0101X

Identifiers

TypeValueNotes
01 1528279189 NPI

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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