Doctor profile · Federal record
Dr. Manuel Proenza, D.O.
Pediatrics Physician · Pediatrics Physician · Great Falls, MT
- NPI 1336401256
- 14 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1101 26Th St S
Great Falls, MT 594055161
(406) 731-8888
fax (406) 731-8318 - Additional location
-
2704 N Tenaya Way
Las Vegas, NV 891280424
(702) 877-5199
fax (702) 459-0402 - Additional location
-
2720 10Th Ave S
Great Falls, MT 594053240 - Mailing address
-
Po Box 6010
Great Falls, MT 594066010
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- June 27, 2024
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Montana #142414 · Nevada #DO1964
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336401256. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$28
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sanofi Pasteur INC. | 1 | $27.80 |
By nature of payment
Frequently asked questions
What is Dr. Manuel Proenza's medical specialty?
Dr. Manuel Proenza practices Pediatrics Physician in Great Falls, MT.
Where does Dr. Manuel Proenza practice?
Dr. Manuel Proenza practices at 1101 26Th St S, Great Falls, MT 594055161. Office phone: 4067318888.
What is Dr. Manuel Proenza's NPI?
Dr. Manuel Proenza's National Provider Identifier (NPI) is 1336401256, issued by NPPES.