High Valley Dermatology & Dermatologic Surgery PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

O-0568 Issued in ID

Legal business name

HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC

Practice address

2085 Providence Way
Idaho Falls, ID 83404-4945

Phone

(208) 525-4888

NPI assigned

Oct 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brandon Miner, D.O.

Title

Office Manager

Phone

(208) 525-4888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1063840288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 PROVIDENCE WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 PROVIDENCE WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044945",
            "telephone_number": "208-525-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-525-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "ID",
            "license": "O-0568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528279189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew Joseph Higham, DDS
• Jordan Higham, DDS
• Douglas James Hilborn, OD

• MOHS-Micrographic Surgery Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• MOHS-Micrographic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.