White Mountain Dermatology LLC
White Mountain Dermatology LLC is a healthcare organization registered as Procedural Dermatology Physician in Apache Junction, AZ, holding Type 2 (organization) NPI 1033164538 since 2006. The authorized official on file is Gerardo Brual, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033164538 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | White Mountain Dermatology LLC |
| Practice address | 288 N IRONWOOD DR, SUITE 105, Apache Junction, AZ, 85220 |
| Phone | 4806714086 |
| Enumeration date | 2006-05-23 |
| Last updated in NPPES | 2015-04-07 |
Authorized official
| Name | Gerardo Brual |
|---|---|
| Title | President |
| Phone | 4806714086 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207NS0135X | Procedural Dermatology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070013565 | Other | AZ | RAIL ROAD MEDICARE |
Copy-ready billing details
Provider: White Mountain Dermatology LLC NPI: 1033164538 Taxonomy: 207NS0135X (Procedural Dermatology Physician) Address: 288 N IRONWOOD DR, SUITE 105, Apache Junction, AZ, 85220
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225022148 | Russell Pearson | Individual | Clinical Social Worker | Apache Junction, AZ |
| 1164416970 | Susan Lassiter | Individual | Professional Counselor | Apache Junction, AZ |
| 1902895840 | Charlie Mitchell | Individual | Psychologist | Apache Junction, AZ |
| 1568533024 | George Berry | Individual | Clinical Psychologist | Apache Junction, AZ |
| 1437284353 | Charlie Mitchell, Ph.D. P.C. | Organization | Clinical Psychologist | Apache Junction, AZ |
| 1750416673 | Merril Heslop | Organization | Clinical Social Worker | Apache Junction, AZ |
| 1245495209 | Daniel Parke | Individual | Clinical Social Worker | Apache Junction, AZ |
Verify this record
Cross-check NPI 1033164538 against the authoritative CMS record: view White Mountain Dermatology LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is White Mountain Dermatology LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-04-07.