NPIMap

Individual provider Active NPI

Bryan Smith Hathorn, M D

  • Interventional Cardiology Physician
  • Baton Rouge, LA
National Provider Identifier
1235131269
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
14857R Issued in LA
Practice address
7777 Hennessy Blvd
Suite 1000
Baton Rouge, LA 70808-4300
Phone
(225) 767-3900
Fax
(225) 766-2226
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14857R LA
Interventional Cardiology Physician 207RI0011X 14857R LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 1000
Baton Rouge, LA 70808-4300

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other identifiers 5

IdentifierTypeStateIssuer
5355641OtherLAAETNA
232799OtherLAWELLCARE
2500911OtherLAUNITED HEALTH CARE
060070427OtherLAPALMETTO GBA
1149551MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bhathorn26325@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100310000693 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear MedicinePractitioner - Other (Physician)Practitioner - Interventional Cardiology 4284723008 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 1000
Baton Rouge, LA 70808-4370

8585 Picardy Ave
Baton Rouge, LA 70809-3679

8595 Picardy Ave
Baton Rouge, LA 70809-3675

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14857RLAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. Cardiovascular Disease CurrentSince Oct 1, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince May 31, 2018 Accepting new patients
Louisiana Cardiovascular Specialists, LLC Cardiovascular Disease CurrentSince Feb 1, 2026 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince May 31, 2018 Accepting new patients
Riverside Medical Center Current Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jun 14, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
The Health Care Authority of the City of Anniston Cardiovascular Disease Past Accepting new patients

Locations

6516 E Myrtle Ave
Baker, LA 70714
Phone (225) 774-7320

7777 Hennessy Blvd
Ste 1000
Baton Rouge, LA 70808
Phone (225) 769-3900

8595 Picardy Ave
Ste 202
Baton Rouge, LA 70809
Phone (225) 964-5514

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

11424 Sullivan Rd
Baton Rouge, LA 70818
Phone (225) 261-9790

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

5131 Odonovan Dr
Ste 400
Baton Rouge, LA 70808

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5228 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 765-8829

402 N Vaughan Dr
Brusly, LA 70719
Phone (225) 749-2645

31985 LA Highway 16
Ste B
Denham Springs, LA 70726
Phone (225) 767-1390

214 Clinic Dr
Donaldsonvlle, LA 70346
Phone (225) 473-8151

2647 S Saint Elizabeth Blvd
Ste 300
Gonzales, LA 70737
Phone (225) 647-0347

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

160 Hospital Rd
New Roads, LA 70760
Phone (225) 638-4686

59315 River West Dr
#C
Plaquemine, LA 70764
Phone (225) 687-6629

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

5000 Odonavan Blvd
Ste 307
Walker, LA 70785
Phone (225) 791-3117

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1235131269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-767-3900",
            "fax_number": "225-766-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHORN",
        "first_name": "BRYAN",
        "middle_name": "SMITH",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "14857R",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "14857R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5355641",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "232799",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2500911",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "060070427",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149551",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhathorn26325@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bhathorn26325@direct.casso.us.com",
            "address_1": "7777 Hennessy Blvd",
            "address_2": "Suite 1000",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7777 Hennessy Blvd",
            "address_2": "Suite 1000",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.