Gage Jordan Blottenberger, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX6827 Issued in MD

Practice address

203 Hospital Dr Ste 308
Glen Burnie, MD 21061-6906

Phone

(410) 553-8260

NPI assigned

Feb 16, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baltimore Washington Professional Services Inc.

  • Surgery Physician
  • Glen Burnie, MD
  • NPI 1821277856
  NPD (past)

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1932052495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR STE 132",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615706",
            "telephone_number": "667-421-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR STE 308",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616906",
            "telephone_number": "410-553-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOTTENBERGER",
        "first_name": "GAGE",
        "middle_name": "JORDAN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX6827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Blaj, MD
• Danyele Blake
• Karene Bland, ADT
• Ellen Eileen Bloom
• Blossoms House of Restoration
• Blue Whispering Willows Counseling LLC
• Larry Webster Blum, M.D.
• Bna Behavioral Health LLC
• Jeffrey Lee Bober, DPM
• Kathryn Leigh Bocchino, LMSW

• Registered Dietitian in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.

Verify at the official NPI Registry.