Renew Bridge LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENEW BRIDGE LLC

Practice address

780 50TH Ave NW
Rochester, MN 55901-6558

Phone

(507) 271-7309

NPI assigned

Sep 23, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ileys Omar Osman

Title

Owner

Phone

(507) 271-7309

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1013889484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 50TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 50TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016558",
            "telephone_number": "507-271-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW BRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "ILEYS",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-271-7309"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Renaud, M.D.
• Crista Renaux Martinez, LICSW
• Kaci R Rendahl, OT
• John A Renelt, MD
• Stephanie Reneson-Feeder, M.S., NCC, LPCC
• Timothy Allen Rengers, MD
• Marcell Rengifo
• Tricia D Renk, CRNA
• Kristin M. Renley, NP
• Bethany Renstrom, CCC-SLP

• Clinic/Center in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.