Charles Southerland, DPM
NPI 1306832944 · Foot & Ankle Surgery Podiatrist · Eagle Mountain, UT
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Southerland, DPM is a Foot & Ankle Surgery Podiatrist provider in Eagle Mountain, UT (NPI 1306832944).
Provider details
- NPI number
- 1306832944
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 9244891-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1973 N State StProvo, UT 84604-1012Phone: (801) 373-2499Fax: (801) 373-5200
- 8822 S Redwood Rd Ste E121West Jordan, UT 84088-5763Phone: (801) 285-7060Fax: (801) 285-7061
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2020-04-24
- Certified
- 2020-04-24
Frequently asked questions
- What is Charles Southerland's NPI number?
- Charles Southerland's National Provider Identifier (NPI) is 1306832944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Southerland's specialty?
- Charles Southerland is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Charles Southerland located?
- Charles Southerland's practice location on file with NPPES is 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548.
- What is Charles Southerland's phone number?
- The practice phone number listed in the NPPES registry for Charles Southerland is (801) 893-8811.
- Does Charles Southerland accept Medicare?
- Charles Southerland is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Southerland's NPI active?
- Yes — Charles Southerland's NPI (1306832944) is active in the NPPES registry as of the last update on 2020-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.