Active NPI
Victoria Petty
- Obstetrics Physician
- Pasadena, MD
National Provider Identifier
1407776701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- R260276
- Practice address
- 79 Circle Rd
Pasadena, MD 21122-6001 - Phone
- (765) 517-3401
- NPI assigned
- Jul 16, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | R260276 | MD | Primary |
Addresses
Primary practice location
79 Circle Rd
Pasadena, MD 21122-6001
Mailing address
79 Circle Rd
Pasadena, MD 21122-6001
Other names 1
- Victoria Blosdale
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1407776701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 CIRCLE RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211226001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 CIRCLE RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211226001",
"telephone_number": "765-517-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-07-16",
"last_updated": "2026-07-16",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MD",
"license": "R260276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "BLOSDALE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.