OrganizationBig Brain Concussion Recovery & Chiropractic PaChiropractorChiropractic ProvidersPractice Address3313 Republic Ave., St. Louis Park, MN 55426(612) 374-3392PECOS EnrollmentBased on the most recent information from CMS, provider Big Brain Concussion Recovery & Chiropractic Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821657545Provider TypeOrganizationFull NameBig Brain Concussion Recovery & Chiropractic PaSubpartNoEnumeration Date6/6/2019Last Updated9/3/2019Contact InformationPractice LocationPractice Address3313 Republic Ave., St. Louis Park, MN 55426Phone(612) 374-3392Fax(612) 374-3477Mailing LocationMailing Address3313 Republic Ave., St. Louis Park, MN 55426Phone(612) 374-3392Fax(612) 374-3477Authorized OfficialNameStussy, David Lloyd (Owner/Doctor)Phone(612) 374-3392Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer