Mountain West Derm - Blackhart PLLC
NPI 1447764741ActiveOrganization· Dermatology· Bend, OR
Dermatology in Bend, Oregon, registered in NPPES in November 2017. The authorized official on file is Bret S. Blackhart, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447764741 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2017 |
| Last updated in NPPES | Nov 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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