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

Jacob Avram Boomgaardt, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508353764

Jacob Avram Boomgaardt, DO is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-3627
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508353764
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESApril 13, 2018
Mailing address8141 Sw 24th Ct Apt 205, Davie, FL 33324-5719

Other providers in Charlottesville