Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Smith Hathorn, MD

Individual provider Cardiovascular Disease Physician · NPI 1235131269

Bryan Smith Hathorn, MD is a Cardiovascular Disease (Cardiology) in Baton Rouge, Louisiana. Qualified in 1991, 35 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
35
Licensed in
LA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Hennessy Blvd Ste 1000
Baton Rouge, LA 70808-4300
Phone: (225) 767-3900
Fax: (225) 766-2226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 14857R (LA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 14857R (LA)

Record details

NPI number1235131269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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