Active NPI 1598758104 Individual Practitioner Male Practitioner

Dr. Bruce Alan Barniville , MD

Internal Medicine • Jupiter, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Barniville, MD is a certified Internal Medicine practicing in Jupiter, FL. With approximately 52 years of clinical experience since completing medical education in 1974, Dr. Barniville delivers high-quality medical care to the local community at 875 MILITARY TRL.

Dr. Barniville is affiliated with Conviva Medical Center Management, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

875 Military Trl
Suite 200

Jupiter, FL 334585700

Telephone 5617462411

Fax 5613540012

Associated Practice Facility / Clinic

🏢 Jupiter Efl Imaging Center Llc Facility NPI 1871555482

Medicare Profile & Education

Medical School

Other

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jupiter, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +18.6 yrs vs City Avg

City Avg: 33.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

50 Specialists

Practicing in Jupiter, FL (10650 Statewide)

Telehealth Adoption Rate

28.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barniville (52 Years) 52 Yrs

Jupiter Specialty Average (33.4 Years) 33.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	146	$220.00	$129.53
99213 Established patient office or other outpatient visit, typically 15 minutes	190	126	$156.18	$91.75
36415 Insertion of needle into vein for collection of blood sample	184	121	$15.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$221.27	$130.34
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	165	129	$35.00	$16.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	50	$100.00	$57.13
G0008 Administration of influenza virus vaccine	41	41	$75.00	$32.91
90653 Vaccine for influenza for injection into muscle	41	41	$65.00	$63.70
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$25.91	$14.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	157	$220.20	$88.99
99213 Established patient office or other outpatient visit, typically 15 minutes	193	129	$159.45	$69.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	156	156	$225.56	$49.39
36415 Insertion of needle into vein for collection of blood sample	144	109	$13.54	$7.89
G0008 Administration of influenza virus vaccine	42	38	$64.52	$31.56
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	40	36	$123.38	$75.11
G0444 Annual depression screening, 5 to 15 minutes	38	38	$31.84	$18.52
G0442 Annual alcohol misuse screening, 5 to 15 minutes	33	33	$31.85	$18.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$100.00	$54.22
G0009 Administration of pneumococcal vaccine	17	16	$64.06	$31.56
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	14	$424.73	$281.60
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$29.33	$14.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	187	$153.41	$78.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	149	$219.88	$95.73
G0442 Annual alcohol misuse screening, 5 to 15 minutes	200	193	$29.98	$18.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$224.91	$84.96
36415 Insertion of needle into vein for collection of blood sample	137	111	$7.66	$2.97
G0444 Annual depression screening, 5 to 15 minutes	118	118	$30.63	$18.70
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$26.96	$15.07
G0008 Administration of influenza virus vaccine	14	14	$61.43	$30.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$97.73	$53.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	726	357	$115.91	$77.06
36415 Insertion of needle into vein for collection of blood sample	315	225	$10.00	$3.00
G0444 Annual depression screening, 5 to 15 minutes	264	264	$29.00	$19.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	256	256	$176.19	$56.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	171	$169.47	$98.62
G0442 Annual alcohol misuse screening, 5 to 15 minutes	125	125	$29.00	$19.15
93000 Routine ekg using at least 12 leads including interpretation and report	98	95	$35.00	$15.61
G0008 Administration of influenza virus vaccine	50	46	$35.00	$17.41
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	49	11	$100.00	$63.52
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	44	44	$40.00	$29.24
71046 X-ray of chest, 2 views	29	29	$50.00	$34.82
69210 Removal of impacted ear wax	22	18	$81.00	$51.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	16	$227.00	$94.65
77080 Dxa bone density measurement of hip, pelvis, spine	20	20	$100.00	$39.36
81002 Urinalysis, manual test	16	16	$15.00	$3.48
99495 Transitional care management services for problem of at least moderate complexity	15	14	$300.00	$110.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$75.00	$54.35
72100 X-ray of lower and sacral spine, 2-3 views	13	11	$59.00	$41.11
G0009 Administration of pneumococcal vaccine	12	12	$35.00	$17.47
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	11	11	$30.00	$18.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	717	348	$116.00	$78.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	279	279	$176.00	$121.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	186	$169.69	$114.61
G0444 Annual depression screening, 5 to 15 minutes	259	259	$29.00	$19.00
36415 Insertion of needle into vein for collection of blood sample	252	203	$10.00	$2.95
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	243	65	$50.00	$44.18
G0008 Administration of influenza virus vaccine	114	108	$35.00	$17.30
90653 Vaccine for influenza for injection into muscle	110	102	$65.00	$59.32
93000 Routine ekg using at least 12 leads including interpretation and report	89	82	$35.00	$18.11
G0009 Administration of pneumococcal vaccine	63	63	$35.00	$17.27
71046 X-ray of chest, 2 views	58	50	$50.00	$34.21
77080 Dxa bone density measurement of hip, pelvis, spine	55	53	$100.00	$41.39
80053 Blood test, comprehensive group of blood chemicals	49	48	$50.00	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	47	46	$15.00	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	46	45	$118.00	$13.12
83721 Ldl cholesterol level	42	41	$25.00	$10.29
90670 Pneumococcal vaccine for injection into muscle	37	37	$264.19	$225.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	25	$227.00	$154.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$125.00	$117.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	29	29	$257.00	$172.23
69210 Removal of impacted ear wax	27	25	$81.00	$51.74
84443 Blood test, thyroid stimulating hormone (TSH)	26	25	$80.00	$16.46
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	25	25	$30.00	$17.91
81002 Urinalysis, manual test	19	17	$15.00	$3.44
99497 Advance care planning, first 30 minutes	16	16	$100.00	$89.69
83036 Hemoglobin A1C level	16	16	$65.00	$9.52
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$59.00	$39.77
81000 Manual urinalysis test with examination using microscope, non-automated	16	16	$15.00	$3.94
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	14	12	$47.14	$33.78
99496 Transitional care management services for problem of high complexity	14	13	$364.00	$256.34
82270 Stool analysis for blood to screen for colon tumors	13	13	$20.00	$4.37
73030 X-ray of shoulder, minimum of 2 views	13	12	$52.00	$34.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$172.00	$114.65
69209 Removal of impacted ear wax by washing	12	12	$31.25	$19.20
99495 Transitional care management services for problem of at least moderate complexity	11	11	$300.00	$179.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	836	370	$116.00	$77.17
36415 Insertion of needle into vein for collection of blood sample	394	238	$10.00	$2.92
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	388	79	$50.00	$43.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	130	$170.00	$112.90
G0444 Annual depression screening, 5 to 15 minutes	136	136	$29.00	$18.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$176.00	$121.17
85610 Blood test, clotting time	128	13	$30.00	$4.28
G0008 Administration of influenza virus vaccine	90	89	$35.00	$17.00
90653 Vaccine for influenza for injection into muscle	86	85	$65.00	$57.44
83721 Ldl cholesterol level	78	65	$25.00	$10.39
80061 Blood test, lipids (cholesterol and triglycerides)	78	65	$118.00	$14.58
80053 Blood test, comprehensive group of blood chemicals	75	63	$50.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	67	58	$15.00	$8.46
93000 Routine ekg using at least 12 leads including interpretation and report	64	62	$35.55	$17.94
84443 Blood test, thyroid stimulating hormone (TSH)	46	43	$80.00	$18.30
G0009 Administration of pneumococcal vaccine	45	45	$35.00	$16.62
81000 Manual urinalysis test with examination using microscope, non-automated	29	29	$15.00	$3.94
77080 Dxa bone density measurement of hip, pelvis, spine	27	27	$100.00	$41.47
90670 Pneumococcal vaccine for injection into muscle	27	27	$225.00	$203.20
71046 X-ray of chest, 2 views	25	25	$50.00	$32.83
82270 Stool analysis for blood to screen for colon tumors	20	20	$20.00	$4.29
81002 Urinalysis, manual test	20	18	$15.00	$3.24
69210 Removal of impacted ear wax	19	15	$81.00	$50.39
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	18	18	$30.00	$17.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$125.00	$110.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$257.00	$167.84
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	15	11	$109.00	$74.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$40.00	$17.28
83036 Hemoglobin A1C level	13	12	$65.00	$10.57
93880 Ultrasound of both sides of head and neck blood flow	13	13	$301.00	$166.22
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	11	11	$358.00	$124.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,052	418	$115.97	$75.28
36415 Insertion of needle into vein for collection of blood sample	442	264	$10.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	209	158	$50.00	$12.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	178	53	$50.00	$43.51
80061 Blood test, lipids (cholesterol and triglycerides)	175	131	$118.00	$16.20
83721 Ldl cholesterol level	175	131	$25.00	$11.54
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	170	136	$15.00	$9.40
G0444 Annual depression screening, 5 to 15 minutes	142	142	$29.00	$18.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	139	139	$176.00	$119.77
85610 Blood test, clotting time	134	14	$30.00	$4.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	78	$170.00	$110.51
84443 Blood test, thyroid stimulating hormone (TSH)	105	96	$80.00	$20.33
G0008 Administration of influenza virus vaccine	102	101	$35.00	$20.70
90653 Vaccine for influenza for injection into muscle	99	98	$65.00	$52.82
G0009 Administration of pneumococcal vaccine	71	71	$35.00	$20.91
81000 Manual urinalysis test with examination using microscope, non-automated	67	66	$15.00	$3.94
93000 Routine ekg using at least 12 leads including interpretation and report	65	61	$35.00	$17.72
83036 Hemoglobin A1C level	50	36	$65.00	$11.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	43	43	$125.00	$105.59
77080 Dxa bone density measurement of hip, pelvis, spine	37	37	$100.00	$42.95
71046 X-ray of chest, 2 views	36	35	$50.00	$31.35
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	11	$32.00	$22.12
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	31	21	$109.00	$75.00
69210 Removal of impacted ear wax	29	26	$81.00	$51.29
90670 Pneumococcal vaccine for injection into muscle	28	28	$225.00	$197.52
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$80.00	$22.26
81002 Urinalysis, manual test	23	21	$14.78	$3.41
82270 Stool analysis for blood to screen for colon tumors	21	21	$20.48	$4.29
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	19	19	$30.00	$19.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$40.00	$21.00
73502 X-ray of hip, 2-3 views	15	12	$55.00	$42.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$257.00	$170.23
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$59.00	$36.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	11	11	$358.00	$129.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	859	424	$116.00	$75.45
36415 Insertion of needle into vein for collection of blood sample	337	234	$10.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	245	179	$50.00	$8.88
83721 Ldl cholesterol level	210	154	$25.00	$12.83
80061 Blood test, lipids (cholesterol and triglycerides)	210	154	$118.00	$17.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	206	163	$15.00	$10.45
G0444 Annual depression screening, 5 to 15 minutes	141	141	$29.00	$18.44
84443 Blood test, thyroid stimulating hormone (TSH)	139	120	$80.00	$22.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$176.00	$119.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	113	$170.00	$110.14
G0008 Administration of influenza virus vaccine	126	125	$35.00	$25.78
90653 Vaccine for influenza for injection into muscle	105	105	$65.00	$49.22
81000 Manual urinalysis test with examination using microscope, non-automated	101	94	$15.00	$4.26
93000 Routine ekg using at least 12 leads including interpretation and report	99	96	$27.00	$17.79
G0009 Administration of pneumococcal vaccine	84	84	$35.00	$25.99
85610 Blood test, clotting time	83	16	$30.00	$5.28
83036 Hemoglobin A1C level	57	44	$65.00	$13.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	44	44	$125.00	$94.89
90670 Pneumococcal vaccine for injection into muscle	40	40	$225.00	$185.67
71020 X-ray of chest, 2 views, front and side	38	36	$50.00	$28.95
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	32	17	$109.00	$71.35
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$100.00	$42.02
82270 Stool analysis for blood to screen for colon tumors	29	29	$20.00	$4.37
G0103 Prostate cancer screening; prostate specific antigen test (psa)	28	28	$80.00	$24.73
69210 Removal of impacted ear wax	23	20	$81.00	$51.52
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	23	23	$23.91	$20.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$257.00	$166.75
81002 Urinalysis, manual test	17	15	$15.00	$3.43
72100 X-ray of lower and sacral spine, 2-3 views	14	13	$59.00	$36.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$264.00	$170.30
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$27.00	$17.89
90662 Influenza vaccine split virus, preservative free	11	11	$55.00	$41.87

Medical Specialties & State Licenses

CMS Verified: 2026-03-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME75195

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Conviva Medical Center Management, Llc

875 Military Trl, Jupiter, FL 334585700

Phone: 5617462422

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Mary Huser , ARNP-C

Nurse Practitioner - Adult Health

NPI 1073642849

ARNPC

Dr. Elio Novoa , MD

Internal Medicine

NPI 1124012448

Doctor of Medicine (M.D.)

Dr. Maryam Robinson , MD

Family Medicine

NPI 1265097042

Doctor of Medicine (M.D.)

Dr. Rajendra Bansal , MD

Internal Medicine

NPI 1285627885

Doctor of Medicine (M.D.)

Patricia Whalen , ARNP-C

Nurse Practitioner - Family

NPI 1285763078

ARNPC

Liana Berkowitz , PA-C, ATC, CSCS

Physician Assistant

NPI 1356757967

Physician Assistant (Certified), Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2024

Internal Medicine (License #ME75195 in FL)

✅

NPI Profile Active May 13, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2008

Registered at 875 MILITARY TRL, SUITE 200, JUPITER, FL 334585700 (Tel: 5617462411)

📍

Updated Business Mailing Address May 13, 2008

Registered at 875 MILITARY TRL, SUITE 200, JUPITER, FL 334585700 (Tel: 5617462411)

👤

Provider Name / Credentials Updated May 13, 2008

Recorded as BRUCE BARNIVILLE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2008

Family Medicine (License #ME75195 in FL)

🟢

Initial NPI Registration & Enumeration August 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Bruce Barniville. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1598758104

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2005

Last Update: March 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

875 Military Trl, Suite 200

Jupiter, FL 334585700

Phone: 5617462411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.