Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mountain West Derm-Blackhart, PLLC

Organization Dermatology Physician · NPI 1548758501

Mountain West Derm-Blackhart, PLLC is a Dermatology Physician in Boise, Idaho. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7733 W Emerald St
Boise, ID 83704-9020
Phone: (208) 939-4599
Fax: (208) 939-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1548758501
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMountain West Derm-Blackhart, PLLC
Authorized official Bret Blackhart — Owner · (775) 336-3624
Other names Dermatology Clinic Of Idaho
NPI enumeratedApril 25, 2018
Last updated in NPPESApril 25, 2018
Mailing address201 Franklin Rd Fl 3, Brentwood, TN 37027-5214

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