| Doctor Name: | DR. BRYAN MATHEW TROUT |
| NPI Number: | 1083603278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M., FACFAS |
| License Number: | 00717 |
| Business Practice Address: | 710 E 1st St Ankeny, IA - 500212007 |
| Business Phone Number: | 5152478400 |
| Business Fax Number: | 5152488888 |
| Mailing Address: | 450 Laurel St, Ste. A DES MOINES |
| State: | IA |
| Postal Code: | 503143045 |
| Phone Number: | 5152478400 |
| Fax Number: | 5152488888 |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 03/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 00717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |