NPI age
8 years
Enumerated 2018-04-25
● Active Type 2 · Organization
Subpart
Mountain West Derm-Blackhart, Pllc
Mountain West Derm-Blackhart, Pllc is 1 of 102 dermatology organizations in Idaho.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blackhart
Owner
Last NPPES update
2018-04-25
Source: monthly bulk 2026-05
How this organization compares
Across 102 active dermatology providers in Idaho.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-04Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
7733 W Emerald St
Boise, ID 837049020
Mailing address
201 Franklin Rd Fl 3
Brentwood, TN 370275214
Authorized official
Bret S Blackhart, MD
Owner
📞 7753363624
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Michael Housley, PA-C Physician Assistant NPI 1043665789
- James Stewart, PHD, MD Dermatology NPI 1104870567
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dermatology Clinic of Idaho
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Mountain West Derm-Blackhart, Pllc.
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Request a quote →How to verify this organization
- 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.