Individual provider Active NPI

Hermilo Gonzalez Jr., MD

  • Family Medicine Physician
  • Buffalo, WY
National Provider Identifier
1023096153
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4374A Issued in WY
Practice address
497 W Lott St
Buffalo, WY 82834-1609
Phone
(307) 684-2228
Fax
(307) 684-2177
NPI assigned
Jan 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4374A WY Primary

Addresses

Primary practice location

497 W Lott St
Buffalo, WY 82834-1609

Mailing address

497 West Lott
Buffalo, WY 82834-1609
Phone (307) 684-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000235 WY Practitioner - Family Practice 8325109978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medical CenterGroup PAC ID 1557344371, 22 clinicians

Practice addresses (Care Compare)

497 W Lott St
Buffalo, WY 82834-1658
Phone (307) 684-2228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4374AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Memorial Hospital Current Accepting new patients
Family Medical Center CurrentSince Sep 1, 1992 Accepting new patients

Locations

497 W Lott St
Buffalo, WY 82834
Phone (307) 684-2228

Interoperability endpoints

  • Direct secure messaging: hermilogonzalez@fmcjc.allscriptsdirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/johnson-806d130c

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023096153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 WEST LOTT",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341609",
            "telephone_number": "307-684-2228",
            "fax_number": "307-684-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341609",
            "telephone_number": "307-684-2228",
            "fax_number": "307-684-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HERMILO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "4374A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

Verify at the official NPI Registry.