IndividualActive
Brian Shupla, R.T. (R)
NPI 1578778668 · Radiography Radiologic Technologist · Tuba City, AZ
Provider details
- NPI number
- 1578778668
- Entity type
- Individual
- Primary specialty
- Radiography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.T. (R)
- Sex
- Male
- Sole proprietor
- Yes
- License
- CRT - 11531 (AZ)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
167 North Main Street
Tuba City, AZ 86045
Phone: (928) 283-2702
Approximate (ZIP-level) locationGet directions
Mailing address
167 North Main Street
Tuba City, AZ 86045
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.