Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Jonathan Lyerly, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1104443100

Charles Jonathan Lyerly, DPM is a Podiatry in Philadelphia, Pennsylvania. Graduated from Kent State University College of Podiatric Medicine in 2020, 6 years ago. Practices with Instride Foot and Ankle Specialists, PLLC, a 46-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Kent State University College of Podiatric Medicine
Licensed in
PA
In the registry since
2020
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

235 N Broad St
Philadelphia, PA 19107-1531
Phone: (215) 568-3510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC007120 (PA)

Record details

NPI number1104443100
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Instride Foot And Ankle Specialists, Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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