Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Charles C Southerland, DPM

Foot & Ankle Surgery Podiatrist in Eagle Mountain, UT · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306832944

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Registry record

Entity type Individual (Type 1)

Name Dr. Charles C Southerland

Credential DPM

Sex Male

Practice address 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT, 84005

Phone (801) 893-8811

Enumeration date Sep 20, 2005

Last updated in NPPES Apr 24, 2020

Taxonomy & licenses

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 9244891-0501 (UT) Primary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier	Type	State	Issuer
9244891-0501	Other	UT	MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Charles Southerland?

Charles Southerland is registered in NPPES with the primary taxonomy of Foot & Ankle Surgery Podiatrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Brooke Ludwig Primary Care Nurse Practitioner · Eagle Mountain, UT NPI 1134750110 Cedar Valley Family & Foot LLC Foot Surgery Podiatrist · Eagle Mountain, UT NPI 1649902461 Utah Podiatric Physicians and Surgeons Group LLC Clinic/Center · Eagle Mountain, UT NPI 1558142471 Crystal Caldwell Family Nurse Practitioner · Eagle Mountain, UT NPI 1871306621 Mayra Perry Family Nurse Practitioner · Eagle Mountain, UT NPI 1659233682 Cedar Valley Health Pllc Primary Care Clinic/Center · Eagle Mountain, UT NPI 1336005842 Utah Podiatry Group LLC Foot & Ankle Surgery Podiatrist · Eagle Mountain, UT NPI 1962331520

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-24.