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

Bennett Leitch, PA

Individual provider Athletic Trainer · NPI 1629519418

Bennett Leitch, PA is a Physician Assistant in Saint Cloud, Minnesota. Graduated from University of North Dakota School of Medicine in 2022, 4 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
4
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1900 Centracare Cir Ste 500
Saint Cloud, MN 56303-5000
Phone: (320) 253-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X · Licence 727-16 (ND)

Record details

NPI number1629519418
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 14, 2017
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing address1900 Centracare Cir Ste 500, Saint Cloud, MN 56303-5000

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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