Organization Active NPI

Reliant Direct Primary Care LLC

  • Medical Specialty Clinic/Center
  • Enid, OK
National Provider Identifier
1386415875
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RELIANT DIRECT PRIMARY CARE LLC
Practice address
822 W Randolph Ave
Enid, OK 73701-3834
Phone
(580) 599-0272
Fax
(580) 603-8602
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Jonathan K Bushman, DO
Title
President/Owner
Phone
(580) 599-0272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Medical Specialty Clinic/Center 261QM2500X 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

Other practice location 1

917 N Main St
Fairview, OK 73737-1005
Phone (580) 227-8647

Other practice location 2

219 E Commerce St
Altus, OK 73521-3913
Phone (580) 563-0454

National Provider Directory

National Provider Directory

Locations

219 E Commerce St
Altus, OK 73521
Phone (580) 481-2325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1386415875",
    "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": [
        {
            "address_1": "917 N Main St",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "OK",
            "postal_code": "737371005",
            "country_code": "US",
            "telephone_number": "580-227-8647",
            "fax_number": "580-603-8602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 E Commerce St",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735213913",
            "country_code": "US",
            "telephone_number": "580-563-0454",
            "fax_number": "580-603-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANT DIRECT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "BUSHMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "580-599-0272",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "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 Jul 29, 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.