Organization Active NPI

Matrix Medical PLLC

  • Pain Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1912708678
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MATRIX MEDICAL PLLC
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2173
Phone
(423) 414-2770
NPI assigned
Mar 20, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Ryan Bearer, DONPI 1407050842
Title
Owner/Physician
Phone
(423) 414-2770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2173

Mailing address

124 Harrison LN Ste 120
Soddy Daisy, TN 37379-4863
Phone (423) 414-2770

Other practice location 1

1247 Riverfront Pkwy Ste 100
Chattanooga, TN 37402-2108
Phone (423) 414-2770

Other practice location 2

1016 Executive Dr
Hixson, TN 37343-3995
Phone (423) 414-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250612000718 TN Part B Supplier - Clinic/Group Practice 6204346703 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN; Hixson, TN

National Provider Directory

National Provider Directory

Locations

3209 Shattuck Rd
Saginaw, MI 48603

124 Harrison Ln
Ste 120
Soddy Daisy, TN 37379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1912708678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HARRISON LN STE 120",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794863",
            "telephone_number": "423-414-2770",
            "fax_number": "989-249-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032173",
            "telephone_number": "423-414-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1247 Riverfront Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374022108",
            "country_code": "US",
            "telephone_number": "423-414-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1016 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373433995",
            "country_code": "US",
            "telephone_number": "423-414-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATRIX MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "BEARER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "423-414-2770",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.