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

Dr. Charles C Southerland, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1306832944

Dr. Charles C Southerland, DPM is a Foot & Ankle Surgery Podiatrist in Eagle Mountain, Utah. Works from 3 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

3435 E Pony Express Pkwy Ste 140
Eagle Mountain, UT 84005-5548
Phone: (801) 893-8811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1973 N State St, Provo, UT 84604-1012 — (801) 373-2499
  • 8822 S Redwood Rd Ste E121, West Jordan, UT 84088-5763 — (801) 285-7060

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 9244891-0501 (UT)

Record details

NPI number1306832944
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020

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