NPI age
4 years
Enumerated 2021-06-03
● Active Type 2 · Organization
Mountain West Derm - Blackhart Pllc
Mountain West Derm - Blackhart Pllc is 1 of 1632 dermatology organizations in Texas.
Primary specialty
Dermatology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blackhart
President
Last NPPES update
2021-06-14
Source: monthly bulk 2026-05
How this organization compares
Across 1632 active dermatology providers in Texas.
NPI age
4 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 29% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
4513 Williams Dr
Georgetown, TX 786331302
Mailing address
4513 Williams Dr
Georgetown, TX 786331302
Authorized official
Bret S Blackhart, MD
President
📞 7753363624
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Eric Adelman, D.O. Dermatology NPI 1194766444
- Elizabeth Cabrera, MD Dermatology NPI 1245242262
- Kristina Collins, M.D. Dermatology NPI 1881895118
- Christopher Conner, M.D. Dermatology NPI 1477501005
- Amanda Dibenedetto, FNP - C Nurse Practitioner NPI 1972810976
- Debra Gauthier, FNP-BC Nurse Practitioner NPI 1679808695
- Arpy Kothari, PA Physician Assistant NPI 1134504202
- Brian Nailling, PA-C Physician Assistant NPI 1639305428
- Alok Vij, MD Dermatology NPI 1851682900
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
-
DermatologyThe 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...
-
DermatologyA dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Vitalogy Skincare
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.