Active NPI
Bret Allen Shupe, DPT
- General Acute Care Hospital
- St George, UT
National Provider Identifier
1841918273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1235568130
- Practice address
- 1380 E Medical Center Dr
St George, UT 84790-2123 - Phone
- (435) 251-1000
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1235568130 | UT | Primary |
Addresses
Primary practice location
1380 E Medical Center Dr
St George, UT 84790-2123
Mailing address
2274 E Pasture Dr
Saint George, UT 84790-4230
Phone (480) 347-5531
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bret.shupe@imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1235568130 | UT | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1841918273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2274 E PASTURE DR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904230",
"telephone_number": "480-347-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 E MEDICAL CENTER DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847902123",
"telephone_number": "435-251-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUPE",
"first_name": "BRET",
"middle_name": "ALLEN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "UT",
"license": "1235568130",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bret.shupe@imail.org",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "1380 E Medical Center Dr",
"city": "St George",
"state": "UT",
"country_code": "US",
"postal_code": "847902123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.