Charles Ray Gosnell, MD
Individual provider Active NPI Diagnostic Ultrasound Physician · Buffalo, WY
NPI 1477531598 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477531598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Ultrasound Physician 2085U0001X
- License
- 3668A (WY)
- Practice address
- 497 West Lott
Buffalo, WY 82834-1609 - Phone
- (307) 684-2228
- Fax
- (307) 684-5385
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3668A | WY | MD | Diagnostic Ultrasound Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 3668A | WY | |
| Diagnostic Ultrasound Physician | 2085U0001X | 3668A | WY | Yes |
Addresses
Primary practice location
497 West Lott
Buffalo, WY 82834-1609
Mailing address
497 West Lott
Buffalo, WY 82834-1609
Phone (307) 684-2228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312761 | Other | WY | BLUE CROSS |
Other providers in Buffalo, WY
- Lydia Fritsche
- Heather Lee Garton
- Cheyenne Gillette
- Hermilo Gonzalez Jr.
- Heather Gorman Haas
- Sandra K Ham
- Hand and Physical Therapy of Wyoming Limited Partnership
- Hand Therapy of Wyoming Buffalo/Sheridan
- Hand Therapy of Wyoming LLC
- Rose M Harriet
All providers in Buffalo, WY · Diagnostic Ultrasound Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.