DR. BONNY C. KOEBER MD
NPI 1720195704
Anesthesiology in San Antonio, TX

Q: What is Bonny Koeber's NPI number?

The NPI number for Bonny Koeber is 1720195704. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as Dr. Bonny Carter Gillis MD.

Q: What is Bonny Koeber's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Bonny Koeber was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2006

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 567-4500(210) 567-0083 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bonny C. Koeber Md NPPES

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

DR. BONNY C. KOEBER MD (NPI 1720195704) is an individual anesthesiology provider in San Antonio, Texas, licensed in Texas (H3862) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720195704

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameDR. BONNY C. KOEBERCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 567-4500 · Fax (210) 567-0083

Phone(210) 567-4500

Fax(210) 567-0083

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateJanuary 24, 2023

NPPES CertifiedJanuary 24, 2023

✔ NPI 1720195704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in TX · H3862

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

4502 MEDICAL DR, San Antonio, TX 78229

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Other Names 1

Former Name (1)Dr. Bonny Carter Gillis Md

Other Identifiers 1

Medicaid129578408TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)