Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RELIANT DIRECT PRIMARY CARE LLC
NPI 1386415875
Clinic/Center - Medical Specialty in Enid, OK

Active since January 12, 2024
822 W RANDOLPH AVE, ENID, OK 73701(580) 599-0272(580) 603-8602 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2026, Jan 4, 2026, Dec 18, 2025 and 1 more (4 updates tracked since 2025).

About Reliant Direct Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RELIANT DIRECT PRIMARY CARE LLC (NPI 1386415875) is a healthcare organization registered as a medical specialty in Enid, Oklahoma and active in the NPI registry since January 2024. The organization maintains 2 additional practice locations and lists Jonathan K Bushman, President/owner, as its authorized official.

NPPES Registry Identity

NPI1386415875
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRELIANT DIRECT PRIMARY CARE LLC
Location Address822 W RANDOLPH AVEEnid, OK 73701-3834
Mailing Address822 W Randolph AveEnid, OK 73701-3834 · (580) 599-0272 · Fax (580) 603-8602
Fax(580) 603-8602
Organization SubpartNo
Authorized OfficialJonathan K BushmanPresident/owner · (580) 599-0272
Enumeration DateJanuary 12, 2024
Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1386415875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedFamily MedicineTaxonomy 207Q00000X
822 W RANDOLPH AVE, Enid, OK 73701

Secondary Practice Locations 2

Location 1219 E Commerce StAltus, OK 73521-3913 · Phone (580) 563-0454 · Fax (580) 603-8602
Location 2917 N Main StFairview, OK 73737-1005 · Phone (580) 227-8647 · Fax (580) 603-8602

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
822 W RANDOLPH AVE
ENID, OK 73701
Family Medicine
822 W RANDOLPH AVE
ENID, OK 73701
Physician Assistant
822 W RANDOLPH AVE
ENID, OK 73701
Family Medicine
822 W RANDOLPH AVE
ENID, OK 73701
Family Medicine
822 W RANDOLPH AVE
ENID, OK 73701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reliant Direct Primary Care LLC's NPI number?

The NPI number for Reliant Direct Primary Care LLC is 1386415875. It was assigned to this organization in the NPPES registry on January 12, 2024.

Where is Reliant Direct Primary Care LLC located?

Reliant Direct Primary Care LLC is located at 822 W Randolph Ave, Enid, OK 73701. The listed phone number is (580) 599-0272.

What is Reliant Direct Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Reliant Direct Primary Care LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.