Organization Active NPI

Bridge Recovery LLC

Doing business as Eosis Bridge

  • Substance Abuse Rehabilitation Facility
  • Sauk Rapids, MN
National Provider Identifier
1801405584
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRIDGE RECOVERY LLC
Doing business as
Eosis Bridge
Practice address
1485 10TH Avenue NE
Sauk Rapids, MN 56379-9838
Phone
(612) 326-7600
Fax
(612) 454-2430
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Lewis P Zeidner, PHD
Title
Ceo
Phone
(763) 745-8278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1485 10TH Avenue NE
Sauk Rapids, MN 56379-9838

Mailing address

550 Main Street
Suite 250
New Brighton, MN 55112-3271
Phone (612) 326-7575

Other names 1

  • Eosis Bridge Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1061745Bridge Recovery LLC Dba Eosis Bridge1485 10TH Ave NE, Sauk Rapids, MN 56379Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

550 Main St
Ste 250
New Brighton, MN 55112

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1801405584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN STREET",
            "address_2": "SUITE 250",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123271",
            "telephone_number": "612-326-7575",
            "fax_number": "612-454-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 10TH AVENUE NE",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563799838",
            "telephone_number": "612-326-7600",
            "fax_number": "612-454-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-02-21",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "ZEIDNER",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-745-8278",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eosis Bridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sauk Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.