Individual provider Active NPI

Matthew Bynum, DC

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1225987597
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16779 Issued in TX
Practice address
5924 Pine Cone LN
Tyler, TX 75707-6289
Phone
(903) 573-0461
NPI assigned
Jan 28, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16779 TX Primary

Addresses

Primary practice location

5924 Pine Cone LN
Tyler, TX 75707-6289

Mailing address

5924 Pine Cone LN
Tyler, TX 75707-6289

Other practice location 1

1318 S Jefferson Ave
MT Pleasant, TX 75455-5355
Phone (903) 572-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5924 Pine Cone LN
Tyler, TX 75707-6289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16779TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Generational Health Collective, LLC Current Accepting new patients

Locations

2301 S Broadway Ave
Ste B10
Tyler, TX 75701
Phone (903) 531-9000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1225987597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 PINE CONE LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 PINE CONE LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076289",
            "telephone_number": "903-573-0461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 S Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "TX",
            "postal_code": "754555355",
            "country_code": "US",
            "telephone_number": "903-572-1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16779",
            "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 Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.