Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Jerome Boomgaard, MD

Individual provider Family Medicine Physician · NPI 1427047034

Dr. Kenneth Jerome Boomgaard, MD is a Family Practice in Elmendorf AFB, Alaska. Graduated from Wayne State University School of Medicine in 1995, 31 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
31
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3RD Medical Group Elmendorf Regional Medical Center 5955 Zeamer Ave
Elmendorf AFB, AK 99506-3700
Phone: (907) 580-2956
Fax: (907) 580-2308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301071073 (MI)

Record details

NPI number1427047034
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2005
Last updated in NPPESJuly 13, 2026
Mailing address21950 Sheltering Spruce Loop, Chugiak, AK 99567-5402

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Elmendorf AFB