Active NPI
Brit Sumner Hatch, PA-C
- Physician Assistant
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20473
- Practice address
- 1367 Dominion PLZ
Tyler, TX 75703-1013 - Phone
- (903) 534-6200
- Fax
- (903) 939-0755
- NPI assigned
- Dec 30, 2013
- Last updated
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20473 | TX | Primary |
Addresses
Primary practice location
1367 Dominion PLZ
Tyler, TX 75703-1013
Mailing address
1367 Dominion PLZ
Tyler, TX 75703-1013
Phone (903) 534-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 N Country Club Dr
6 Grand Canyon Derm PLLC
Mesa, AZ 85201-2537
Phone (480) 962-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5616 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oliver Street 5.01(a) Inc. | Current | Accepting new patients | |
| Clin-Path Pathology | Past | Accepting new patients | |
| Dermatology Associates | Past | Accepting new patients |
Locations
1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200
1720 S Beckham Ave
Ste 102
Tyler, TX 75701
Phone (903) 534-6200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grand Canyon Dermatology PLLC
- Dermatology Physician
- Mesa, AZ
- NPI 1982849691
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
dba U.S. Dermatology Partners
- Dermatology Physician
- Dallas, TX
- NPI 1457695413
-
- Dermatology Physician
- Houston, TX
- NPI 1356523039
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1922079706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1073934568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1367 DOMINION PLZ",
"city": "TYLER",
"state": "TX",
"postal_code": "757031013",
"telephone_number": "903-534-6200",
"fax_number": "903-939-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1367 DOMINION PLZ",
"city": "TYLER",
"state": "TX",
"postal_code": "757031013",
"telephone_number": "903-534-6200",
"fax_number": "903-939-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "BRIT",
"middle_name": "SUMNER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-30",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA20473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.