Individual provider Active NPI

Brenda E Sirovich, M.D.

  • Internal Medicine Physician
  • White River Junction, VT
National Provider Identifier
1679520308
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78257 Issued in MA
Practice address
Outcomes Group (Iiib)
Dept of Veterans Affairs Hosp
White River Junction, VT 05009-0001
Phone
(802) 296-5178
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 78257 MA Primary

Addresses

Primary practice location

Outcomes Group (Iiib)
Dept of Veterans Affairs Hosp
White River Junction, VT 05009-0001

Mailing address

Outcomes Group (Iiib)
Dept of Veterans Affairs Hosp
White River Junction, VT 05009-0001
Phone (802) 296-5178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170321001922 VT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4789969437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78257MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679520308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OUTCOMES GROUP (IIIB)",
            "address_2": "DEPT OF VETERANS AFFAIRS HOSP",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-296-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OUTCOMES GROUP (IIIB)",
            "address_2": "DEPT OF VETERANS AFFAIRS HOSP",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-296-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROVICH",
        "first_name": "BRENDA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "78257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.