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

Dr. Benjamin J Leak, MD

Individual provider Urology Physician · NPI 1043248867

Dr. Benjamin J Leak, MD is an Urology in Bloomington, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2003, 23 years ago. Practices with Premier Medical Group, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1401 Eastland Dr Ste B
Bloomington, IL 61701-3514
Phone: (309) 663-9424
Fax: (309) 663-6350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (IL)

Record details

NPI number1043248867
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESSeptember 13, 2007
Mailing address1401 Eastland Dr, Suite B, Bloomington, IL 61701-3514

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2003 (23 years in practice)
Group practice Premier Medical Group, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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