DR. BOBBY GLENN AYCOCK M.D.
NPI 1063567873
Plastic Surgery in Walnut Creek, CA

Active since January 24, 2007Opted out of Medicare · through Jan 1, 2028
1855 SAN MIGUEL DR, SUITE 4, WALNUT CREEK, CA 94596(925) 937-8377(925) 937-8384 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bobby Glenn Aycock M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOBBY GLENN AYCOCK M.D. (NPI 1063567873) is an individual plastic surgery provider in Walnut Creek, California, licensed in California (A44291) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1063567873
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. BOBBY GLENN AYCOCKCredential: M.D.
Location Address1855 SAN MIGUEL DR, SUITE 4Walnut Creek, CA 94596-5279
Mailing Address1855 San Miguel Dr, Suite 4Walnut Creek, CA 94596-5279 · (925) 937-8377 · Fax (925) 937-8384
Fax(925) 937-8384
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063567873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in CA · A44291
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1855 SAN MIGUEL DR, Walnut Creek, CA 94596

Other Names 1

Other Name (5)Dr. Robert Glenn Aycock M.d.

Other Identifiers 1

Medicare UPIND28843CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Bobby Glenn Aycock M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Oral & Maxillofacial Surgery
1855 SAN MIGUEL DR, STE 25
WALNUT CREEK, CA 94596
Ophthalmology
1855 SAN MIGUEL DR, #28
WALNUT CREEK, CA 94596
Psychologist (Clinical)
1855 SAN MIGUEL DR, STE 23
WALNUT CREEK, CA 94596
Dentist (Orthodontics and Dentofacial Orthopedics)
1855 SAN MIGUEL DR, #22
WALNUT CREEK, CA 94596
Dentist
1855 SAN MIGUEL DR, STE 12
WALNUT CREEK, CA 94596
Eyewear Supplier
1855 SAN MIGUEL DR, #27A
WALNUT CREEK, CA 94596
Clinic/Center (Dental)
1855 SAN MIGUEL DR, SUITE 1
WALNUT CREEK, CA 94596
Dentist (Orthodontics and Dentofacial Orthopedics)
1855 SAN MIGUEL DR, SUITE 14
WALNUT CREEK, CA 94596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Aycock's NPI number?

The NPI number for Bobby Aycock is 1063567873. It was assigned to this individual provider in the NPPES registry on January 24, 2007. The provider is also known as Dr. Robert Glenn Aycock M.D..

Where is Bobby Aycock located?

Bobby Aycock practices at 1855 San Miguel Dr Suite 4, Walnut Creek, CA 94596. The listed phone number is (925) 937-8377.

What is Bobby Aycock's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Bobby Aycock enrolled in Medicare?

No. Bobby Aycock has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bobby Aycock was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.