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Bernhard Birnbaum

Bernhard Birnbaum, MD

Internal Medicine

Online Booking

Highlights

Age Groups Seen

  • Young Adult 18-25
  • Adult 26-64
  • Older Adult 65+

Languages

  • English

Gender

Male

Johns Hopkins Affiliations:

  • Johns Hopkins School of Medicine Faculty
  • Johns Hopkins Community Physicians

About Bernhard Birnbaum

Primary Academic Title

Instructor in Medicine

Johns Hopkins Physician

Logo for Johns Hopkins Physician

Locations

  1. Johns Hopkins Community Physicians - Water's Edge

Expertise

Education

  • Residency: Rutgers New Jersey Medical School, Internal Medicine, 1986
  • Medical Education: SUNY Downstate College of Medicine, Medicine, MD, 1983

Board Certifications

  • Internal Medicine: American Board of Internal Medicine, 1986

Insurance

Please contact the location directly to confirm your health plan is accepted.
Search plans
  • Aetna
  • CareFirst
  • Cigna
  • First Health
  • Geisinger Health Plan
  • HealthSmart/Accel
  • Johns Hopkins Health Plans
  • MultiPlan
  • Pennsylvania's Preferred Health Networks (PPHN)
  • Point Comfort Underwriters
  • Private Healthcare Systems (PHCS)

Ratings & Reviews

4.9 out of 5

428 ratings, 162 reviews

The Patient Rating score is an average of all responses to physician related questions on the national CG-CAHPS Medical Practice patient experience survey through Press Ganey. Responses are measured on a scale of 1 to 5, with 5 being the best score. Comments are also gathered from our CG-CAHPS Medical Practice Survey through Press Ganey and displayed in their entirety. Patients are de-identified for confidentiality and patient privacy.

Overall Rating by Patient
Provider Listened Carefully
Provider Explained Things Clearly
Provider Knew Medical History
Provider Showed Respect
Provider Spent Enough Time
Search reviews
    5 out of 5 stars
    Reviewed on 3/17/2026

    Dr Bernhard Birnbaum

    5 out of 5 stars
    Reviewed on 3/17/2026

    Dr. Birnbaum is very understanding and listens to your concerns.

    5 out of 5 stars
    Reviewed on 3/13/2026

    Without a doubt my Doctor is second to non. He's fantastic and very thoughtful and caring. I feel lucky to have him as my Doctor.

    5 out of 5 stars
    Reviewed on 3/13/2026

    I went in for a physical, after the physical was completed, I asked my provider to check on another health concern I had and he did a great job at addressing that issue.

    5 out of 5 stars
    Reviewed on 3/13/2026

    Dr. Bernhard Birnbaum

    5 out of 5 stars
    Reviewed on 3/11/2026

    Dr. Birnbaum is an outstanding and caring doctor!

    5 out of 5 stars
    Reviewed on 3/11/2026

    Dr Birnbaum is exemplary

    5 out of 5 stars
    Reviewed on 3/11/2026

    Great provider...thorough and competent!

    5 out of 5 stars
    Reviewed on 3/10/2026

    Dr Birnbaum listened to my concerns , Reviewed my relevant records, including my notes from home, and examined my shoulder which was a new complaint. He then referred me for PT and suggested a scheduled follow up visit w/ him. Reviewed my meds and Renewed my Rx's as needed.

    5 out of 5 stars
    Reviewed on 3/9/2026

    Very pleased with my Hopkins providers

    5 out of 5 stars
    Reviewed on 2/26/2026

    Dr.B. My primary care for 20+ years. Takes good care of me!

    5 out of 5 stars
    Reviewed on 2/25/2026

    On time, professional, and provided helpful information.

    5 out of 5 stars
    Reviewed on 2/24/2026

    Verry Good Dr and really cares and does every thing he can to help you The best Dr I've ever went too

    5 out of 5 stars
    Reviewed on 2/23/2026

    Very good health care

    5 out of 5 stars
    Reviewed on 2/18/2026

    I have had my primary doctor who is Dr. Birmbaum now since 1998 and would not want to change.

    5 out of 5 stars
    Reviewed on 2/17/2026

    Dr. Birnbaum was very thorough, calm and helpful.

    5 out of 5 stars
    Reviewed on 2/17/2026

    Very nice very professional

    5 out of 5 stars
    Reviewed on 2/16/2026

    This was my first time with Dr. Birnbaum. I found him very knowledgeable and professional. He listened to me and understood my issues.

    5 out of 5 stars
    Reviewed on 2/12/2026

    The doctor always does a good job asking questions and explaining things

    5 out of 5 stars
    Reviewed on 2/12/2026

    Dr Bernhard Birnbaum

    5 out of 5 stars
    Reviewed on 2/12/2026

    Very through

    5 out of 5 stars
    Reviewed on 2/11/2026

    He was very good

    5 out of 5 stars
    Reviewed on 2/10/2026

    I have been a patient of Dr. Birnbaum for approximately 8 to 10 years, and I remain extremely pleased with the care provided. He takes the time to listen, asks thorough and thoughtful questions, and offers clear, wellexplained feedback along with appropriate alternatives. His professionalism, attention to detail, and direct, precise communication are exceptional. I truly value the care I receive and would not want any other doctor.

    5 out of 5 stars
    Reviewed on 2/9/2026

    My primary care provider is consistently involved in my care. He explains where I stand in my health journey, outlines realistic goals for positive outcomes, and assesses my understanding of my current health status.

    5 out of 5 stars
    Reviewed on 2/9/2026

    Dr. Birnbaum

    5 out of 5 stars
    Reviewed on 2/9/2026

    Dr Birnbaum is careful, he listens, and then he looks at the problem. I trust him

    5 out of 5 stars
    Reviewed on 2/6/2026

    Dr Birnbaum is the most outstanding physician and I am blessed to be his patient.

    5 out of 5 stars
    Reviewed on 2/6/2026

    My provider told me what I needed to hear to improve my health. I just need to really follow his advice and make a stronger effort in achieving those goals.

    5 out of 5 stars
    Reviewed on 2/5/2026

    Dr. Birnbaum has always been extremely polite, attentive and thorough. I have been his patient for almost 7 years and find him to be an extremely excellent physician. Hopkins is fortunate to have him as a provider. Always very careful and aware of your health issues and concerns.

    5 out of 5 stars
    Reviewed on 2/5/2026

    He's been great every time I go to see him.

    5 out of 5 stars
    Reviewed on 2/2/2026

    I like Dr Birnbaum. He is always listening to me and offering help when I need it. He is a good Dr.

    5 out of 5 stars
    Reviewed on 1/29/2026

    Great care for my health and wellness.

    5 out of 5 stars
    Reviewed on 1/28/2026

    Dr. Birnbaum is very kind , attentive and thorough. He answers questions and gives opportunity for patients to ask questions. Would definitely recommend him.

    5 out of 5 stars
    Reviewed on 1/16/2026

    Very caring person

    5 out of 5 stars
    Reviewed on 1/16/2026

    This was my first visit and he asked questions, answered questions and listened to me. He never made me feel rushed.

    5 out of 5 stars
    Reviewed on 1/15/2026

    Dr Birnbaum has been my primary care provided for more than 10 years. I feel very secure and confident in his care. He has seen me through so many health issues: breast cancer, knee and shouler replacements. Thyroid problems, hight blood pressure and diabetes. I am a complex patient and I so always appreciate his concern and advice.

    5 out of 5 stars
    Reviewed on 1/14/2026

    Excellent research on explaining my rapid weight loss

    5 out of 5 stars
    Reviewed on 1/13/2026

    Very professional

    5 out of 5 stars
    Reviewed on 1/13/2026

    Very thorough and concerned about my health. Very personable and friendly.

    5 out of 5 stars
    Reviewed on 1/12/2026

    Thorough, pleasant, buisiness-like; listens well and takes the time to think about best approach

    4 out of 5 stars
    Reviewed on 1/9/2026

    Over many years he has taken good care of my husband and mehe has personally called either one or the other if concerned,he does listen to our questions. We thank God that he is our Doctor.

    5 out of 5 stars
    Reviewed on 1/9/2026

    Just a great visit thoroughly answered every question

    5 out of 5 stars
    Reviewed on 1/8/2026

    Takes his time and answers my questions

    5 out of 5 stars
    Reviewed on 1/6/2026

    Listens well

    5 out of 5 stars
    Reviewed on 1/6/2026

    Dr birnbaum has been my GP for many years . I have referred people to him.

    5 out of 5 stars
    Reviewed on 1/2/2026

    Dr Birnbaum

    5 out of 5 stars
    Reviewed on 12/31/2025

    I never have to wait to see my doctor. The office personnoare bery efficient . If I ask a question via MyChart my doctor responds very quickly.

    5 out of 5 stars
    Reviewed on 12/29/2025

    After a few min talking with this gentleman Dr. It seemed like I had known him for a long time

    5 out of 5 stars
    Reviewed on 12/22/2025

    Pre surgical visit. Exactly as expected. He covered everything needed. Very professional

    5 out of 5 stars
    Reviewed on 12/18/2025

    My provider is a great doctor. He listens and explains things very well. I'm very confident in his treatment and any medical recommendations.

    5 out of 5 stars
    Reviewed on 12/18/2025

    It was good and quick

    5 out of 5 stars
    Reviewed on 12/18/2025

    Good service, very efficient.

    5 out of 5 stars
    Reviewed on 12/17/2025

    Respect and depend upon his medical advice.

    5 out of 5 stars
    Reviewed on 12/17/2025

    Dr Birnbaum

    5 out of 5 stars
    Reviewed on 12/16/2025

    Dr. Birnbaum is very caring and compassionate. He Is very thorough and spent a lot of time talking with me about a plan forward. I am very fortunate to have Dr. Birnbaum as my provider.

    5 out of 5 stars
    Reviewed on 12/15/2025

    The provider's is very knowledgeable and he takes his time to answer questions thoroughly and shows concern for my wellbeing.

    5 out of 5 stars
    Reviewed on 12/15/2025

    Excellent

    5 out of 5 stars
    Reviewed on 12/12/2025

    Dr. Birnbaum shows real concern for my health and wellbeing. I am very satisfied with the medical services and advice that he provides.

    5 out of 5 stars
    Reviewed on 12/12/2025

    Dr. Birnbaum is a friendly, focused and most well informed physician. He is always a delightful professional. His questions are investigative designed to rule out and identify possible causes of the issue at hand. I appreciate him very much.

    5 out of 5 stars
    Reviewed on 12/10/2025

    Dr Birnbaum is always great, from my first visit to now I look forward to talk with him about all my heath issues. He listens and advises me.

    5 out of 5 stars
    Reviewed on 12/9/2025

    Dr Birnbaum is very caring and helpful in giving me advice about my health.

    5 out of 5 stars
    Reviewed on 12/9/2025

    Very thorough exam and helpful with my questions. Very caring and encouraging, as well.

    5 out of 5 stars
    Reviewed on 12/3/2025

    Dr. Birnbaum is an outstanding Doctor. He is sincere and very thorough in his examination you and provides excellent feedback about the examination.

    5 out of 5 stars
    Reviewed on 12/1/2025

    Dr. Birnbaum is patient and easy to talk to; very knowledgeable and open to discussing options.

    5 out of 5 stars
    Reviewed on 12/1/2025

    Provider was professional, thorough and very familiar with my health condition. He also provided me with very good suggestions on improving my physical condition. He explained things to me that were clear and understandable.

    5 out of 5 stars
    Reviewed on 12/1/2025

    Certainly k knowledgeable MD who knows my case very well is appropriately concerned about my health listen to my concerns and questions and answers them fully

    5 out of 5 stars
    Reviewed on 11/28/2025

    My provider is EXCELLENT. He listens understands never do I feel rushed.

    5 out of 5 stars
    Reviewed on 11/28/2025

    Very kind and caring!!!

    5 out of 5 stars
    Reviewed on 11/26/2025

    I look forward to my visits with Dr Birnbaum. He really tries to lead me toward making. Healthier choices.

    5 out of 5 stars
    Reviewed on 11/25/2025

    Dr Birnbaum is very thorough and engaging. He listens and takes the input to make the health decisions.

    5 out of 5 stars
    Reviewed on 11/24/2025

    Best PCP I've ever been to.

    5 out of 5 stars
    Reviewed on 11/24/2025

    I appreciated being able to see the doctor the same day I had called. He followed all of the safety precautions.

    5 out of 5 stars
    Reviewed on 11/21/2025

    Dr. Birnbaum always cares about all aspects of my health and life and is thorough.

    5 out of 5 stars
    Reviewed on 11/18/2025

    Caring, plan language, attentive.

    5 out of 5 stars
    Reviewed on 11/18/2025

    I've been seeing Dr Birnbaum since I retired from the military in Dec 1995.Always provides me with care.

    5 out of 5 stars
    Reviewed on 11/17/2025

    Excellent Service!

    3 out of 5 stars
    Reviewed on 11/12/2025

    Focused on computer; didn't feel like provider knew me other than what was on computer

    5 out of 5 stars
    Reviewed on 11/3/2025

    Very Good visit. First Time at this office

    4 out of 5 stars
    Reviewed on 11/3/2025

    Very competent, pleasant but felt a bit rushed.

    5 out of 5 stars
    Reviewed on 10/31/2025

    Dr Birnbaum is great and really knowledgeable about health issues He listens and real cares about patients. The best Dr I've ever had.

    5 out of 5 stars
    Reviewed on 10/31/2025

    He does a good job.

    4 out of 5 stars
    Reviewed on 10/30/2025

    I respect and like Dr Birnbaum. I do feel however his knowledge base is formed for the past. Even when I brought up issues that recent research has backed he was hesitant. It's best to be up to date on current clinical research as to help guide a respected plan.

    5 out of 5 stars
    Reviewed on 10/29/2025

    Always listens carefully to me, and promptly orders labs, tests, referrals as needed following a thorough assessment of my problems.

    5 out of 5 stars
    Reviewed on 10/22/2025

    Very Good. Attentive and Professional.

    5 out of 5 stars
    Reviewed on 10/21/2025

    Knowledgeable, kind and courteous.

    5 out of 5 stars
    Reviewed on 10/17/2025

    The best provider, he cares for the patient's health.

    5 out of 5 stars
    Reviewed on 10/6/2025

    Even though the appointment started late the doctor was apologetic and thanked me for waiting.

    5 out of 5 stars
    Reviewed on 10/3/2025

    The best doctor I've had in 20 years.

    5 out of 5 stars
    Reviewed on 9/18/2025

    Courteous and professional

    5 out of 5 stars
    Reviewed on 9/17/2025

    Very understanding and open with you. Listens to your concerns and gives you his undevived attention.

    5 out of 5 stars
    Reviewed on 9/17/2025

    Very informative provider and show concern. Not rushed. I really appreciate this provider

    5 out of 5 stars
    Reviewed on 9/16/2025

    First class

    5 out of 5 stars
    Reviewed on 9/15/2025

    It can be difficult to get an appointment in a timely fashion.

    5 out of 5 stars
    Reviewed on 9/12/2025

    Dr. Birnbaum is an excellent provider. He is caring, really listens, and provides suggestions on how to take care of your health.

    5 out of 5 stars
    Reviewed on 9/12/2025

    Dr. Birnbaum has been a highly reliable and trustworthy provider for the past >10 years. I know he cares about my health. I appreciate the holistic approach he takes in helping me to improve my health. His suggestions have worked wonderfully.

    5 out of 5 stars
    Reviewed on 9/11/2025

    DR. Bernhard Birnbaum

    5 out of 5 stars
    Reviewed on 9/9/2025

    All was great.

    5 out of 5 stars
    Reviewed on 8/28/2025

    DR Birnbaum

    5 out of 5 stars
    Reviewed on 8/27/2025

    It was a pleasant experience. The most thorough physical I have had in quite a while and most appreciated. Dr. Birnbaum was attentive, courteous, thoughtful, and empathetic giving great care to detail.

    4 out of 5 stars
    Reviewed on 8/27/2025

    After my examination, the doctor never told me what my diagnosis was. He only told me to continue taking the medication that the emergency room doctor prescribed for you.

    5 out of 5 stars
    Reviewed on 8/26/2025

    Professional and very willing to explain complex medical issues

    5 out of 5 stars
    Reviewed on 8/26/2025

    Excellent provider

    5 out of 5 stars
    Reviewed on 8/22/2025

    100% confidence in Dr. B. For several years.

    5 out of 5 stars
    Reviewed on 8/21/2025

    Dr. Birnbaum is a great doctor.

    4 out of 5 stars
    Reviewed on 8/21/2025

    DrBirnbaum

    5 out of 5 stars
    Reviewed on 8/15/2025

    Dr. Bernhard Birnbaum, MD, is excellent. He took the time to really listen to my concerns and provided thoughtful recommendations. I felt heard and cared for throughout my visit

    5 out of 5 stars
    Reviewed on 8/14/2025

    Dr. Birnbaum is excellent, knowledgeable and familiar with my medical history and current medical condition. I highly recommend him!

    5 out of 5 stars
    Reviewed on 8/11/2025

    Always a good listener

    5 out of 5 stars
    Reviewed on 8/11/2025

    Dr. Birnbaum is most excellent. He spent a solid amount of time getting to know me and my health history. This was important to me because I have relocated from CA and left a doctor who knew me and my family very well and spent time reviewing my record at each visit and taking detailed notes during the current visit. Dr. Birnbaum provided insight, information and recommendations. I will continue to seek his support.

    5 out of 5 stars
    Reviewed on 8/7/2025

    Dr Birnbaum is careful. He asks questions and listens for answers. On this good health visit those questions resulted in a blood test that showed I have a severe heart problem. I am grateful for his care

    5 out of 5 stars
    Reviewed on 8/5/2025

    Overall it was a great visit

    5 out of 5 stars
    Reviewed on 8/4/2025

    Dr.Birnbaum has been my Provider for many years, I have highly recommended him to my Friends and Family.

    5 out of 5 stars
    Reviewed on 7/31/2025

    Dr. B is a great doctor

    5 out of 5 stars
    Reviewed on 7/31/2025

    Very good

    5 out of 5 stars
    Reviewed on 7/31/2025

    Dr. Birnbaum is always insightful and caring.

    5 out of 5 stars
    Reviewed on 7/30/2025

    Always has been a great visit and shows concern for us. He always gives advice on ways to improve our health

    5 out of 5 stars
    Reviewed on 7/30/2025

    Provider confirmed lab results

    5 out of 5 stars
    Reviewed on 7/29/2025

    Based on my experience of over a decade, I have observed that my healthcare provider demonstrates exceptional medical expertise and consistently delivers high-quality care.

    5 out of 5 stars
    Reviewed on 7/29/2025

    Very caring and answer any questions I had

    5 out of 5 stars
    Reviewed on 7/25/2025

    Good visit; provider's diagnosis was direct and balanced. Tests performed confirmed what was expected.

    4 out of 5 stars
    Reviewed on 7/24/2025

    Wanted A Pretty thourough physical. Got Lungs & heart listened to, Hand squeeze pressure test. Nothing else. Felt it was insufficient. But I said nothing.

    5 out of 5 stars
    Reviewed on 7/16/2025

    The provider was helpful in referring me to the appropriate eye specialist

    5 out of 5 stars
    Reviewed on 7/16/2025

    Dr. Birnbaum still examined me although I was 15 minutes late due to an accident. He appreciated me calling the office and was actually in the waiting area when I arrived. I felt he was genuinely concerned about my well-being and state of mind

    5 out of 5 stars
    Reviewed on 7/15/2025

    He's very competent and very thorough.

    5 out of 5 stars
    Reviewed on 7/14/2025

    Doctor Birnbaum is always professional and courteous. He listens and understands my health needs. I have the greatest trust and confidence is Doctor Birnbaum.

    5 out of 5 stars
    Reviewed on 7/11/2025

    I enjoy an excellent and professional health care service

    5 out of 5 stars
    Reviewed on 7/9/2025

    Dr. Birnbaum is very good is aware of my profile. He is very courteous and open.

    5 out of 5 stars
    Reviewed on 7/9/2025

    Very pleased with my provider. He spent time with me and I appreciated that.

    5 out of 5 stars
    Reviewed on 7/9/2025

    Great visit,got answers from Dr. Office workers just so great talking so pleasant

    5 out of 5 stars
    Reviewed on 7/7/2025

    He is the best dr I have ever been to he really cares about his patients and to help them and doesn't just quit and goes all out to get the right diagnosis

    3 out of 5 stars
    Reviewed on 7/7/2025

    I did not feel respected during my visit. When I walked out of the office, my comment to myself was, ""What's the use, why am I even trying..."" I expected more from my visit then an online support group to join and a u-tube video to watch. The feeling I received was just hurry up and get this done.

    5 out of 5 stars
    Reviewed on 7/3/2025

    Knowledgeable, understanding and professional

    5 out of 5 stars
    Reviewed on 7/1/2025

    Wonderful experience from time I walked in the door to time I was finished

    5 out of 5 stars
    Reviewed on 6/30/2025

    I will never leave Dr. Birnbaum. I've been with him since 2007 and he has always been very patient and attentive and has a way to make one feel at ease after a visit with him.

    5 out of 5 stars
    Reviewed on 6/16/2025

    Very good doctor

    5 out of 5 stars
    Reviewed on 6/12/2025

    Easy to schedule an appointment on line

    5 out of 5 stars
    Reviewed on 6/11/2025

    This was my annual physical, and he went the extra mile with me! Spent an entire hour carefully assessing my rather complicated issues. My appt was at 12 noon, so maybe he missed his lunch break? He made some recommendations, and scheduled a f/u visit. I really believe I am very fortunate In the thorough, professional care I receive from this caring provider who listens so patiently to all my concerns!

    5 out of 5 stars
    Reviewed on 6/11/2025

    Dr Birnbaum was very helpful in trying to figure out my health issues.

    5 out of 5 stars
    Reviewed on 6/11/2025

    Dr Birnbaum is excellent doctor like him very much

    5 out of 5 stars
    Reviewed on 6/10/2025

    Thank you for a very helpful experience.

    5 out of 5 stars
    Reviewed on 6/9/2025

    Dr. Birnbaum was very attentive and thorough. He provided timely and essential advice for an urgent health need.

    5 out of 5 stars
    Reviewed on 6/6/2025

    Dr. Birnbaum is approachable, thorough, and he genuinely invests in my well-being. He has a clear communication style; above all else, his medical knowledge is amazing.

    5 out of 5 stars
    Reviewed on 6/5/2025

    I have been a patient of Dr. Bernhard Birnbaum for over fifteen years, I am completely satisfied with his service. That should tell you what I think about his service.

    5 out of 5 stars
    Reviewed on 5/29/2025

    Dr. Bernhard Birnbaum

    5 out of 5 stars
    Reviewed on 5/27/2025

    It was my first visit with a new primary care doctor. All went well.

    5 out of 5 stars
    Reviewed on 5/22/2025

    Always have received very good service since 1998 and I have gad the same doctor.

    5 out of 5 stars
    Reviewed on 5/22/2025

    Dr. Birnbaum has provided me with excellent health care and wellness advice for several years.

    5 out of 5 stars
    Reviewed on 5/22/2025

    Dr Birnbaum is an excellent doctor

    5 out of 5 stars
    Reviewed on 5/22/2025

    Dr. Birnbaum is the best doctor ever

    5 out of 5 stars
    Reviewed on 5/22/2025

    Good doctor

    5 out of 5 stars
    Reviewed on 5/21/2025

    Dr Birnbaum is the best. He is a good listener, answers all questions and explains things so that I can understand

    5 out of 5 stars
    Reviewed on 5/20/2025

    Always provides the best care I could ask for. He makes me feel as though he can help me with any health concerns I may have.

    5 out of 5 stars
    Reviewed on 5/19/2025

    I've been seeing Dr Birnbaum for for like 20 year or more now, very good doctor. He's always provided good advise to me, period.

    5 out of 5 stars
    Reviewed on 5/13/2025

    Dr. BIRNBAUM is always working to improve my health.

    5 out of 5 stars
    Reviewed on 5/12/2025

    Thorough. Bd well informed

    5 out of 5 stars
    Reviewed on 5/12/2025

    Excellent Services

    5 out of 5 stars
    Reviewed on 5/12/2025

    I've had the same provider since 1993 and I have complete confidence in him!

    5 out of 5 stars
    Reviewed on 5/9/2025

    I have been using this provider for over 20 years and I have been satisfied through that time

    5 out of 5 stars
    Reviewed on 5/7/2025

    I love and respect my doctor he's respectful and caring for his patients

    5 out of 5 stars
    Reviewed on 5/5/2025

    Dr B and his team are the best

    5 out of 5 stars
    Reviewed on 4/28/2025

    Love Dr. Birnbaum. He has always looked out for me.

    5 out of 5 stars
    Reviewed on 4/21/2025

    Dr. Birnbaum is an excellent and important part of my care team. He always takes plenty of time with me, describes things well, listens to me, and cares. There are a few things on the notes from the appointment that are not correct.