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

Benjamin William Leacock

Individual provider Emergency Medicine Physician · NPI 1639375140

Benjamin William Leacock is an Emergency Medicine in Greenville, Illinois. Qualified in 2007, 19 years ago. Practices with Northwest Emergency Physicians LLC, a 262-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Illinois, Indiana and Missouri and 2 more.

Years since qualifying
19
Licensed in
CO, IL, IN, MO, NC, WA
In the registry since
2007
Specialties on file
6

Practice location Address checks out

200 Health Care Dr
Greenville, IL 62246-1154
Phone: (618) 664-1230
Show map & directions

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

Additional practice locations (1)

  • 1024 S Lemay Ave, Fort Collins, CO 80524-3929 — (970) 495-7000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD61595673 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DR.0056078 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01081797A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2010003231 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036148647 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 141051 (NC)

Record details

NPI number1639375140
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing addressPo Box 912215, Denver, CO 80291-2215

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northwest Emergency Physicians Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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