BRIANNA ROSE DISTLER DDS
NPI 1639028566
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since January 23, 2026
100 NICOLLS RD, STONY BROOK, NY 11794(631) 632-8989 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Brianna Rose Distler Dds NPPES

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

BRIANNA ROSE DISTLER DDS (NPI 1639028566) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1639028566
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRIANNA ROSE DISTLERCredential: DDS
Location Address100 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address100 Nicolls RdStony Brook, NY 11794-0001
Sole ProprietorNo
Enumeration DateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
NPI 1639028566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 NICOLLS RD, Stony Brook, NY 11794

Other Providers at the Same Location NPPES 20

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

Anesthesiology
100 NICOLLS RD, SUNY AT STONY BROOK - DEPARTMENT OF ANESTHESIOLOGY
STONY BROOK, NY 11794
Psychiatry & Neurology (Geriatric Psychiatry)
100 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11794
Specialist/Technologist (Athletic Trainer)
100 NICOLLS RD
STONY BROOK, NY 11794
Anesthesiology
100 NICOLLS RD, HEALTH SCIENCES CENTER L4-060 (Z8480)
STONY BROOK, NY 11794
Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11794
Anesthesiology
100 NICOLLS RD, DEPT OF ANESTHESIOLOGY HEALTH SCIENCES CENTER L4 #060
STONY BROOK, NY 11794

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 Brianna Distler's NPI number?

The NPI number for Brianna Distler is 1639028566. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Where is Brianna Distler located?

Brianna Distler practices at 100 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 632-8989.

What is Brianna Distler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brianna Distler was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.