NPIMap

Organization Active NPI

Primed Healthcare LLC

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1144830506
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMED HEALTHCARE LLC
Practice address
822 W Randolph Ave
Enid, OK 73701-3834
Phone
(580) 599-0272
Fax
(580) 603-8602
NPI assigned
Jul 31, 2020
Last updated
May 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan K Bushman, DONPI 1508182619
Title
Owner
Phone
(580) 599-0272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

822 W Randolph Ave
Enid, OK 73701-3834

Mailing address

822 W Randolph Ave
Enid, OK 73701-3834
Phone (580) 599-0272

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780185600000",
    "number": "1144830506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013834",
            "telephone_number": "580-599-0272",
            "fax_number": "580-603-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013834",
            "telephone_number": "580-599-0272",
            "fax_number": "580-603-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "BUSHMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-599-0272",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.