Active NPI
Bonnie Y McKenzie, MD
- Anesthesiology Physician
- Kerrville, TX
National Provider Identifier
1861491227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J1592
- Practice address
- 420 Water St
#105-B
Kerrville, TX 78028-5200 - Phone
- (830) 896-1344
- Fax
- (830) 896-1363
- NPI assigned
- Jul 19, 2005
- Last updated
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J1592 | TX | Primary |
Addresses
Primary practice location
420 Water St
#105-B
Kerrville, TX 78028-5200
Mailing address
420 Water St
#105-B
Kerrville, TX 78028-5200
Phone (830) 896-1344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Anesthesiology | Past | Accepting new patients |
| Covenant Medical Group | Past | Accepting new patients | |
| Big Bend Medical Group | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Family Medical Center
- Surgery Physician
- Big Spring, TX
- NPI 1811973282
Anesthesiology
-
dba Covenant Family Healthcare Center
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1861491227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 WATER ST",
"address_2": "#105-B",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285200",
"telephone_number": "830-896-1344",
"fax_number": "830-896-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 WATER ST",
"address_2": "#105-B",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285200",
"telephone_number": "830-896-1344",
"fax_number": "830-896-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "BONNIE",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J1592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.