Active NPI
Bridge Recovery LLC
Doing business as Eosis Bridge
- Substance Abuse Rehabilitation Facility
- Sauk Rapids, MN
National Provider Identifier
1801405584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1061745 | Bridge Recovery LLC Dba Eosis Bridge | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Saint Paul, MN
- NPI 1447750047
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Brooklyn Park, MN
- NPI 1871560953
-
- Addiction (Substance Use Disorder) Counselor
- Saint Paul, MN
- NPI 1477171213
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.