Healthcare Provider Details

I. General information

NPI: 1912708678
Provider Name (Legal Business Name): MATRIX MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

124 HARRISON LN STE 120
SODDY DAISY TN
37379-4863
US

V. Phone/Fax

Practice location:
  • Phone: 423-414-2770
  • Fax:
Mailing address:
  • Phone: 423-414-2770
  • Fax: 989-249-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RYAN BEARER
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 423-414-2770