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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

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 Center 22 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Johnson County Healthcare Center Hospital, Buffalo, WY, CCN 531308
  • Johnson County Healthcare Center Nursing home, CCN 53Z308

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.

Medicare enrollment records 1

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

National Provider Directory

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

Practice roles

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

497 W Lott St
Buffalo, WY 82834-1609

Mailing address

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

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
306232OtherWYBLUE CROSS
306039OtherWYBLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "306232",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "306039",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

Verify at the official NPI Registry.