1. Home
  2. Directory
  3. Wyoming
  4. Gillette
  5. Clinic Center
  6. NPI Profile

NORTH EAST WYOMING FAMILY MEDICINE
NPI 1396496535
Clinic/Center - Primary Care in Gillette, WY

Active since January 10, 2022
1901 ENERGY CT STE 119, GILLETTE, WY 82718(307) 696-8027 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About North East Wyoming Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH EAST WYOMING FAMILY MEDICINE (NPI 1396496535) is a healthcare organization registered as a primary care in Gillette, Wyoming and active in the NPI registry since January 2022. The organization lists Travis Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1396496535
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTH EAST WYOMING FAMILY MEDICINE
Location Address1901 ENERGY CT STE 119Gillette, WY 82718-5500
Mailing Address1901 Energy Ct Ste 119Gillette, WY 82718-5500
Phone(307) 696-8027
Organization SubpartNo
Authorized OfficialTravis RobertsOwner · (307) 696-8027
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1396496535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1901 ENERGY CT STE 119, Gillette, WY 82718
Open in Google Maps ↗

Frequently Asked Questions

What is NORTH EAST WYOMING FAMILY MEDICINE's NPI number?

The NPI number assigned to this healthcare provider is 1396496535, enumerated as an "organization" on January 10, 2022.

Where is the provider located?

The provider is located at 1901 ENERGY CT STE 119 GILLETTE, WY 82718 and the phone number is (307) 696-8027.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.