Bret S Blackhart, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7747 Issued in NV

Practice address

640 W Moana LN
Ste 2
Reno, NV 89509-4857

Phone

(775) 324-0699

Fax

(775) 888-8067

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain West Derm - Blackhart PLLC

  • MOHS-Micrographic Surgery Physician
  • Reno, NV
  • NPI 1740633015

  NV

  Medicare reassignment NPD Authorized official
• Mountain West Derm California PC

  • Dermatology Physician
  • Truckee, CA
  • NPI 1205346061

  Dermatology

  NPD Authorized official
• Scdi Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Carson City, NV
  • NPI 1578749917
  NPD (past) Authorized official
• Mountain West Derm-Blackhart, PLLC

  • Dermatology Physician
  • Tigard, OR
  • NPI 1316656994

  Dermatology

  NPD
• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  NPD (past)
• Prime Healthcare Services - Reno LLC

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  NPD (past)
• South Lyon Health Center, Inc.

  • Physical Therapist
  • Yerington, NV
  • NPI 1407815194
  NPD (past)
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bblackhart@skincancerderm.emadirect.md

• Bret S. Blackhart Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2019.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1992708655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W MOANA LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094903",
            "telephone_number": "775-336-3624",
            "fax_number": "775-888-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W MOANA LN",
            "address_2": "STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094857",
            "telephone_number": "775-324-0699",
            "fax_number": "775-888-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKHART",
        "first_name": "BRET",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "7747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRET",
            "last_name": "BLACKHART",
            "middle_name": "S.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Black
• Josh J Black, RRT
• Peggie J. Arreche Black, APRN
• Doris Blackburn
• Aaron V Blackham, LCSW
• Raeven Blackman-Shipp
• Kimberly Blackmore
• Arcelia Blackowl
• Sierra Blair
• Tracy Lee Blair, BA

• All providers in Reno, NV
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.