Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brian Khristopher Stackhouse, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871234989

Dr. Brian Khristopher Stackhouse, MD is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

376 Seguine Ave
Staten Island, NY 10309-3942
Phone: (718) 226-5976
Fax: (718) 226-2789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1871234989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022

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