Brenda Lorraine Waters, M.D., B.S.

Primary specialty

Pediatric Pathology PhysicianTaxonomy code 207ZP0213X

License

042-0006733 Issued in VT

Practice address

111 Colchester Ave
Burlington, VT 05401-1473

Phone

(802) 847-2797

Fax

(802) 847-9644

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366477960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BLACKBERRY DR",
            "city": "HUNTINGTON",
            "state": "VT",
            "postal_code": "054629640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-2797",
            "fax_number": "802-847-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "BRENDA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "M.D., B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "VT",
            "license": "042-0006733",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "VT",
            "license": "042-0006733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01166976",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009551",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syeda Faryal Wasti
• Water'S Edge Psychotherapy and Wellness Center
• Gerald Scott Waterman, M.D.
• Patricia Waterman, LCSW
• Austin Waters-Dukes, LICSW
• Matthew Wells Watkins, MD
• Liam Daniel Watkinson
• Abigail Elizabeth Mudd Watson
• Dillon Watson
• Elizabeth Jennifer Watson, MD

• Pediatric Pathology Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Pediatric Pathology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.