Organic sedimentary rock samples were collected from three Oil Wells in the North-Western Niger Delta, Nigeria in order to determine their natural radioactivity and elemental geochemistry, with the aim of determining the concentrations of major radionuclides and their radiological and environmental health implication. The PIXE method of IBA technique and an accurately calibrated Si(Li) detector system was used to measure the elemental concentration of the sediment samples. The radionuclides identified belong to the decay series of naturally occurring radionuclides headed by 238U and 232Th along with the non-decay series radionuclide, 40K. The activity concentrations of the radionuclides and their derived dose were then calculated. The average activity concentrations of 40K were 248 Bq/kg for Well A, 261 Bq/kg for Well B and 273 Bq/kg for Well C. For 232Th the activity concentrations were 1,043 Bq/kg for Well A, 1,400 Bq/kg for Well B, 1,434 Bq/kg for Well C. 238U activity concentrations were 2,210, 3,508 and 250 Bq/kg for the Oil Wells A, B, C, respectively. The equivalent dose ranges from 8.5 ± 1.1 to 24.3 ± 2.1 mSv/year with a mean of 14.5 ± 2.2 mSv/year for Oil Well A, 2.4 ± 0.1–75.0 ± 1.2 mSv/year with a mean of 21.5 ± 1.1 mSv/year for Oil Well B and 3.7 ± 0.2–10.7 ± 0.6 mSv/year with a mean of 9.4 ± 2.5 for Oil Well C. The detected trace metals were majorly V, Ni, Pb, Fe, Cr, Cu, Zn, Co and their concentrations together with those of the radionuclides are compared with the relevant world standard limits. The results obtained were high, and hence, the radioactivity level and trace element content of the sediment samples from the North-Western Niger Delta Oil province could constitute health hazard to occupationally exposed workers, and to the public if not properly disposed. However, despite the careful disposal practice claims by the Oil industries, and given the high concentrations, the sediments could still pose an intrinsic health hazard considering their cumulative effects in the environment.