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Neurological Surgery Private Practices in Alabama (52 Verified Groups) | Daniel Aragón

There are 52 physician-owned neurological surgery practices in Alabama, vetted against the NPPES NPI Registry. Hospital-employed, government, and academic positions are excluded.

Your options, on one page.

Neurological Surgery Practice Directory: Alabama

A vetted list of 62 neurological surgery practices in Alabama that are still owned by the physicians who built them. Useful when the recruiter says you have no other options.

From your first MCAT prep book to your last in-training exam, the next step was always pre-written. Someone handed you the syllabus. You showed up. You did the work.

The difference between a physician who has read this directory and one who has not is the difference between negotiating from options and negotiating from desperation. Same skills, same training, same offer letter. Different leverage. The Real Contract course walks you through every clause that matters.

NOT INCLUDED IN THIS DIRECTORY

Hospital-employed, government-operated, and academic positions are excluded. These are not independent private practices:

Hospital systems

  • Ascension
  • Baptist Health Alabama
  • Brookwood Baptist Health
  • DCH Health System
  • Huntsville Hospital Health System
  • East Alabama Health
  • Southeast Health
  • Jackson Hospital and Clinic Montgomery
  • Encompass Health
  • Ascension St. Vincent's Birmingham
  • Ascension St. Vincent's

Academic programs

  • UAB Medicine
  • USA Health
  • Infirmary Health

Tribal health programs

  • Poarch Band of Creek Indians
  • Cher-O-Creek Intra Tribal Indians
  • Echota Cherokee Tribe of Alabama
  • Cherokee Tribe of Northeast Alabama
  • Mowa Band of Choctaw Indians Mount Vernon
  • Piqua Shawnee Tribe
  • United Cherokee Ani-Yun-Wiya Nation

All 52 physician-owned neurological surgery practices in Alabama, by city

52practices listed
11cities in AL
0PE or corporate flagged
43with a website
52 practices listed

Spine & Neuro Center: Stephen E. Sandwell, MD

Athens, AL

NPPES Verified
Neurosurgeon

A multi-provider neurological surgery practice in Athens, Alabama, Spine & Neuro Center: Stephen E. Sandwell, MD operates under physician ownership. Physicians interested in this practice can inquire by phone.

Medical Office Building, 101 Fitness Way Ste 1200, Athens, AL 35611

Alabama Neurological Surgery & Spine

Birmingham, AL

NPPES Verified
Neurosurgeon

A privately owned neurological surgery practice, Alabama Neurological Surgery & Spine is located in Birmingham, Alabama. Employment and partnership inquiries can be directed to the practice via their website.

3535 Grandview Pkwy # 150, Birmingham, AL 35243

Andrew M. Erwood M.D.

Birmingham, AL

NPPES Verified
Neurosurgeon

Andrew M. Erwood M.D. maintains a private neurological surgery practice in Birmingham, Alabama, where clinical decisions remain physician-led. Physicians exploring opportunities can reach out through the practice website or by phone.

513 Brookwood Blvd #101, Birmingham, AL 35209

Birmingham Neurosurgery & Spine Group

Birmingham, AL

NPPES Verified
NeurologistNeurosurgeonNurse Practitioner

Birmingham Neurosurgery & Spine Group provides neurological surgery services to patients in the Birmingham, Alabama area as an independent medical practice. Additional capabilities include brain and nervous system care. Physicians exploring opportunities can reach out through the practice website or by phone.

806 St Vincents Dr #450, Birmingham, AL 35205

Blake E. Pearson MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Blake E. Pearson, MD, is a board-certified neurosurgeon at Alabama Neurological Surgery & Spine in Birmingham, Alabama. He joined the practice in 2011. Dr. Pearson studied at Emory University in Atlanta, Georgia, for his undergraduate degree, graduating Summa Cum Laude in 2000. From there, he moved to Washington, DC, to attend Georgetown University’s School of Medicine. For his internship and residency, Dr. Pearson relocated to Birmingham to study under the skilled staff at the University of Ala

3535 Grandview Pkwy # 150, Birmingham, AL 35243

Charles H. Clark III M.D.

Birmingham, AL

NPPES Verified
Neurosurgeon

Charles H. Clark III M.D. maintains a private neurological surgery practice in Birmingham, Alabama, where clinical decisions remain physician-led. Employment and partnership inquiries can be directed to the practice via their website.

800 St Vincents Dr #700, Birmingham, AL 35205

Dr. Barton L. Guthrie, MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Dr. Barton L. Guthrie, MD brings neurological surgery expertise to patients in Birmingham, Alabama through a physician-owned practice. Call the practice directly to ask about current physician openings or partnership opportunities.

Russell Wing Medical Educational Building, Spain Wallace Entrance, 1813 6th Ave S Fot1038, Birmingham, AL 35233

Dr. Paul R. Clark, M.D.

Birmingham, AL

NPPES Verified
Neurosurgeon

Neurosurgical Associates, P.C. specializes in neurosurgical care for the communities of Birmingham, Hoover, Trussville, and Cullman in Alabama.

513 Brookwood Blvd #101, Birmingham, AL 35209

Grandview Medical Group - Neurosurgery

Birmingham, AL

NPPES Verified
Neurosurgeon

Located in Birmingham, Alabama, Grandview Medical Group - Neurosurgery offers neurological surgery care outside of hospital system employment. Employment and partnership inquiries can be directed to the practice via their website.

3686 Grandview Pkwy #630, Birmingham, AL 35243

James M. Markert, MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Neurosurgeon and well-known researcher Dr. James Markert is the inaugural chair of the Department of Neurosurgery at University of Alabama at Birmingham, where he has been a faculty member since 1996. His clinical practice focuses on the treatment of benign and malignant brain tumors with a special interest in glioblastoma. Dr. Markert’s focus on excellence is evident in his comprehensive training, from his Harvard University undergraduate education, graduate and medical degree from Columbia

510 20th St S #720, Birmingham, AL 35294

Joshua Y. Menendez M.D.

Birmingham, AL

NPPES Verified
Neurosurgeon

Joshua Y. Menendez M.D. sees patients at a private neurological surgery office in Birmingham, Alabama, emphasizing physician autonomy in clinical care. Employment and partnership inquiries can be directed to the practice via their website.

513 Brookwood Blvd #101, Birmingham, AL 35209

Matthew S. Erwood M.D.

Birmingham, AL

NPPES Verified
Neurosurgeon

In addition to seeing patients in the STV Birmingham location Dr. Erwood has a clinic every Thursday at St. Vincent's 119 Spa and Wellness in Hoover.

513 Brookwood Blvd #101, Birmingham, AL 35209

Okor Mamerhi O MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Okor Mamerhi O MD operates a physician-owned neurological surgery practice in Birmingham, Alabama, offering personalized patient care in a private setting. Contact by phone to discuss potential employment or buy-in opportunities.

The USPS does not believe there is a, 1802 6th Ave S, Birmingham, AL 35233

P. Colby Maher M.D.

Birmingham, AL

NPPES Verified
Neurosurgeon

In Birmingham, Alabama, P. Colby Maher M.D. offers neurological surgery care as part of the region's private practice scene. Visit the practice website or call to discuss potential openings.

513 Brookwood Blvd #101, Birmingham, AL 35209

Pediatric Neurosurgeons

Birmingham, AL

NPPES Verified
Surgical CenterNeurosurgeon

Offering neurological surgery services in Birmingham, Alabama, Pediatric Neurosurgeons operates outside of hospital employment. Visit the practice website or call to discuss potential openings.

1600 7th Ave S, Birmingham, AL 35233

Pediatric Neurosurgeons: Curtis J . Rozzelle MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Pediatric Neurosurgeons: Curtis J. Rozzelle MD provides neurological surgery services from a privately held practice in Birmingham, Alabama. Employment and partnership inquiries can be directed to the practice via their website.

1600 7th Ave S, Birmingham, AL 35294

Robert D. Robinson, MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Robert D. Robinson, MD operates a physician-owned neurological surgery practice in Birmingham, Alabama, offering personalized patient care in a private setting. Employment and partnership inquiries can be directed to the practice via their website.

3535 Grandview Pkwy # 150, Birmingham, AL 35243

TUAN NGUYEN, MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Practicing neurological surgery in Birmingham, Alabama, TUAN NGUYEN offers care through an owner-operated medical office. Visit the practice website or call to discuss potential openings.

516 Brookwood Blvd, Birmingham, AL 35209

UAB Highlands: Guthrie Barton L MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Located in Birmingham, Alabama, UAB Highlands: Guthrie Barton L MD delivers neurological surgery care through an independently managed medical practice. Physicians interested in this practice can inquire by phone.

1201 11th Ave S, Birmingham, AL 35294

Walter G. Haynes, III, MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Walter G. Haynes III, MD, is a skilled physician specializing in neurosurgery at Alabama Neurological Surgery & Spine in Birmingham, Alabama. He’s been a proud member of the practice since 1996. Dr. Haynes graduated from Vanderbilt University in Nashville, Tennessee, in 1985. Moving to Alabama, he attended the University of Alabama’s School of Medicine in Tuscaloosa before completing a rigorous internship and residency at Carraway Methodist Medical Center in Birmingham. Committed to the well-bei

3535 Grandview Pkwy # 150, Birmingham, AL 35243

Zenko Hrynkiw, MD

Birmingham, AL

NPPES Verified
Neurosurgeon

Based in Birmingham, Alabama, Zenko Hrynkiw, MD runs an independently owned neurological surgery practice focused on direct physician-patient relationships. Visit the practice website or call to discuss potential openings.

3686 Grandview Pkwy #630, Birmingham, AL 35243

Juan F. Ronderos, M.D.

Foley, AL

NPPES Verified
Neurosurgeon

Based in Foley, Alabama, Juan F. Ronderos, M.D. runs an independently owned neurological surgery practice focused on direct physician-patient relationships. Visit the practice website or call to discuss potential openings.

1851 N McKenzie St Ste 101, Foley, AL 36535

Winston Capel, MD

Homewood, AL

NPPES Verified
Neurosurgeon

Offering neurological surgery services in Homewood, Alabama, Winston Capel, MD operates outside of hospital employment. Reach out by phone for information about joining this practice.

513 Brookwood Blvd #260, Homewood, AL 35209

Bhageeradh H. Mulpur, MD

Huntsville, AL

NPPES Verified
NeurologistNeurosurgeon

Offering neurological surgery services in Huntsville, Alabama, Bhageeradh H. Mulpur, MD operates outside of hospital employment. The practice also provides brain and nervous system care. Visit the practice website or call to discuss potential openings.

201 Governors Dr SW First Floor, Huntsville, AL 35801

Cheng W. Tao, MD, FACS

Huntsville, AL

NPPES Verified
Neurosurgeon

Cheng W. Tao, MD, FACS operates a physician-owned neurological surgery practice in Huntsville, Alabama, offering personalized patient care in a private setting. Employment and partnership inquiries can be directed to the practice via their website.

201 Governors Dr SW First Floor, Huntsville, AL 35801

Christopher Hargett, DO

Huntsville, AL

NPPES Verified
Neurosurgeon

Dr. Christopher Hargett is a board-certified neurosurgeon in Huntsville, Alabama. He is a member of the Huntsville Hospital Spine & Neuro Center physician team. Dr. Hargett's clinical specialties include degenerative spine conditions, minimally invasive spinal surgery, spine and brain trauma, brain tumors, complex spine surgery and normal pressure hydrocephalus.

201 Governors Dr SW First Floor, Huntsville, AL 35801

Holly A. Zywicke, MD

Huntsville, AL

NPPES Verified
Neurosurgeon

Holly A. Zywicke sees patients at a private neurological surgery office in Huntsville, Alabama, emphasizing physician autonomy in clinical care. Physicians exploring opportunities can reach out through the practice website or by phone.

201 Governors Dr SW First Floor, Huntsville, AL 35801

Jason T. Banks, MD, FACS

Huntsville, AL

NPPES Verified
Neurosurgeon

Practicing neurological surgery in Huntsville, Alabama, Jason T. Banks offers care through an owner-operated medical office. Visit the practice website or call to discuss potential openings.

201 Governors Dr SW First Floor, Huntsville, AL 35801

Joel D. Pickett, MD, FACS

Huntsville, AL

NPPES Verified
Neurosurgeon

Joel D. Pickett, MD, FACS brings neurological surgery expertise to patients in Huntsville, Alabama through a physician-owned practice. Employment and partnership inquiries can be directed to the practice via their website.

201 Governors Dr SW First Floor, Huntsville, AL 35801

John D. Johnson, MD

Huntsville, AL

NPPES Verified
Neurosurgeon

Offering neurological surgery services in Huntsville, Alabama, John D. Johnson, MD operates outside of hospital employment. Visit the practice website or call to discuss potential openings.

4715 Whitesburg Dr, Huntsville, AL 35802

Rhett B. Murray, MD, FACS

Huntsville, AL

NPPES Verified
Neurosurgeon

Dr. Rhett B. Murray is a neurosurgeon and is a member of the Huntsville Hospital Spine & Neuro Center physician team. Dr. Murray is board certified in neurological surgery. His clinical specialties include neuro spine surgery, brain tumors, complex spine and brain trauma.

201 Governors Dr SW First Floor, Huntsville, AL 35801

Sanat Dixit, MD

Huntsville, AL

NPPES Verified
Neurosurgeon

Board-certified neurosurgeon Sanat Dixit, MD, MBA, offers comprehensive and customized therapies for the treatment of brain and spine disorders at the Huntsville, Madison, and Athens, Alabama, offices of SportsMED Orthopedic Surgery & Spine Center. Dr. Dixit has extensive training in the latest minimally invasive procedures for treating brain tumors, peripheral nerve damage, and degenerative joint disease.

4715 Whitesburg Dr, Huntsville, AL 35802

Stephen E. Sandwell, MD

Huntsville, AL

NPPES Verified
Neurosurgeon

Dr. Stephen E. Sandwell is a neurosurgeon and is a member of the Huntsville Hospital Spine & Neuro Center physician team. Dr. Sandwell's clinical specialties include spine surgery for cervical, thoracic and lumbar conditions, cranial and peripheral nerve treatments, trigeminal neuralgia and spine and brain trauma.

201 Governors Dr SW First Floor, Huntsville, AL 35801

Thomas Ostergard, MD

Huntsville, AL

NPPES Verified
Neurosurgeon

Thomas Ostergard sees patients at a private neurological surgery office in Huntsville, Alabama, emphasizing physician autonomy in clinical care. Physicians exploring opportunities can reach out through the practice website or by phone.

201 Governors Dr SW First Floor, Huntsville, AL 35801

John D Johnson Jr, MD

Madison, AL

NPPES Verified
Neurosurgeon

John D Johnson Jr, MD operates a physician-owned neurological surgery practice in Madison, Alabama, offering personalized patient care in a private setting. Employment and partnership inquiries can be directed to the practice via their website.

33 Hughes Rd First Floor, Madison, AL 35758

Andrew Romeo MD

Mobile, AL

NPPES Verified
Neurosurgeon

Practicing neurological surgery in Mobile, Alabama, Andrew Romeo MD offers care through an owner-operated medical office. Visit the practice website or call to discuss potential openings.

6701 Airport Blvd Suite A-203, Mobile, AL 36608

Donald R. Tyler, MD | Coastal Neurological Institute

Mobile, AL

NPPES Verified
Neurosurgeon

Patients in Mobile, Alabama can access neurological surgery services through Donald R. Tyler, MD | Coastal Neurological Institute, a physician-owned group. Employment and partnership inquiries can be directed to the practice via their website.

3280 Dauphin St Building A, Mobile, AL 36606

Edward Flotte, MD | Coastal Neurological Institute

Mobile, AL

NPPES Verified
Neurosurgeon

Edward Flotte, MD | Coastal Neurological Institute provides neurological surgery care in Mobile, Alabama as a multi-physician private practice. Reach the office through their website or direct phone line for career-related questions.

3280 Dauphin St # A101, Mobile, AL 36606

Jai Thakur MD

Mobile, AL

NPPES Verified
Neurosurgeon

Jai Thakur MD maintains a private neurological surgery practice in Mobile, Alabama, where clinical decisions remain physician-led. Employment and partnership inquiries can be directed to the practice via their website.

6701 Airport Blvd Suite A-203, Mobile, AL 36608

John Amburgy MD

Mobile, AL

NPPES Verified
NeurologistNeurosurgeon

John Amburgy MD provides neurological surgery services from a privately held practice in Mobile, Alabama. Additional capabilities include brain and nervous system care. Physicians exploring opportunities can reach out through the practice website or by phone.

6701 Airport Blvd Suite A-203, Mobile, AL 36608

Marc Manix, MD

Mobile, AL

NPPES Verified
Neurosurgeon

A solo neurological surgery practitioner in Mobile, Alabama, Marc Manix provides care under an independent practice model. Visit the practice website or call to discuss potential openings.

6701 Airport Blvd Suite A-203, Mobile, AL 36608

Matthew Pearson MD

Mobile, AL

NPPES Verified
Neurosurgeon

Practicing neurological surgery in Mobile, Alabama, Matthew Pearson MD offers care through an owner-operated medical office. Visit the practice website or call to discuss potential openings.

6701 Airport Blvd Suite A-203, Mobile, AL 36608

Richard Menger MD MPA

Mobile, AL

NPPES Verified
Neurosurgeon

Richard Menger MD MPA maintains a private neurological surgery practice in Mobile, Alabama, where clinical decisions remain physician-led. Employment and partnership inquiries can be directed to the practice via their website.

1601 Center St Suite 2D, Mobile, AL 36604

Troy H. Middleton, MD | Coastal Neurological Institute

Mobile, AL

NPPES Verified
Neurosurgeon

Troy H. Middleton, MD | Coastal Neurological Institute provides neurological surgery care in Mobile, Alabama as a multi-physician private practice. Reach the office through their website or direct phone line for career-related questions.

3280 Dauphin St # A101, Mobile, AL 36606

USA Health Neurosurgery Specialists

Mobile, AL

NPPES Verified
Neurosurgeon

USA Health Neurosurgery Specialists is a Mobile-based neurological surgery practice serving patients across the Alabama region. Physicians exploring opportunities can reach out through the practice website or by phone.

6701 Airport Blvd Suite A-203, Mobile, AL 36608

W. Brent Faircloth, MD | Coastal Neurological Institute

Mobile, AL

NPPES Verified
Neurosurgeon

Based in Mobile, Alabama, W. Brent Faircloth, MD | Coastal Neurological Institute offers neurological surgery care through a physician-led group structure. Employment and partnership inquiries can be directed to the practice via their website.

3280 Dauphin St BLDG. A, STE. 100, Mobile, AL 36606

Bradley Robert H MD

Montgomery, AL

NPPES Verified
Neurosurgeon

Bradley Robert H MD provides neurological surgery services from a privately held practice in Montgomery, Alabama. Contact by phone to discuss potential employment or buy-in opportunities.

2065 E South Blvd #204, Montgomery, AL 36116

Franklin Kendrick, MD

Montgomery, AL

NPPES Verified
Neurosurgeon

A solo neurological surgery practitioner in Montgomery, Alabama, Franklin Kendrick provides care under an independent practice model. Physicians interested in this practice can inquire by phone.

2065 E South Blvd #204, Montgomery, AL 36116

John Kast, MD

Montgomery, AL

NPPES Verified
Neurosurgeon

A solo neurological surgery practitioner in Montgomery, Alabama, John Kast provides care under an independent practice model. Reach out by phone for information about joining this practice.

2065 E South Blvd #204, Montgomery, AL 36116

Winston Capel, MD

Pelham, AL

NPPES Verified
NeurosurgeonOrthopedic Surgeon

Winston Capel maintains a private neurological surgery practice in Pelham, Alabama, where clinical decisions remain physician-led. Additional capabilities include bone, joint, and musculoskeletal surgery. Physicians exploring opportunities can reach out through the practice website or by phone.

120 Cahaba Valley Pkwy Ste 100, Pelham, AL 35124

Coastal Neurological Institute | Spanish Fort, AL

Spanish Fort, AL

NPPES Verified
NeurosurgeonPhysician Assistant

Coastal Neurological Institute | Spanish Fort, AL is a Spanish Fort-based neurological surgery practice serving patients across the Alabama region. Additional capabilities include outpatient medical care. Physicians exploring opportunities can reach out through the practice website or by phone.

30762 State Hwy 181, Spanish Fort, AL 36527

Swaid Clinic

Vestavia Hills, AL

NPPES Verified
Surgical CenterNeurosurgeonOrthopedic Surgeon

Offering neurological surgery services in Vestavia Hills, Alabama, Swaid Clinic operates outside of hospital employment. Services extend to bone, joint, and musculoskeletal surgery. Reach the office through their website or direct phone line for career-related questions.

1021 Montgomery Hwy, Vestavia Hills, AL 35216

About this directory and the Alabama neurological surgery market

You finished neurological surgery. Now what?

Then PGY-Final arrives. Suddenly there is no syllabus, no advisor telling you which clause to push back on, no upperclassman who has done this before. There is only a contract and a clock.

What this directory does is hand you the page you were missing. Every physician-owned neurological surgery group in Alabama, in one place, so the first contract you sign is not the only contract you ever saw.

What other resources point to in Alabama

There are 62 physician-owned neurological surgery practices in Alabama, spread across 11 cities. I pulled every one of them from the NPPES NPI Registry, which is the federal database that CMS maintains for active providers. Then I filtered out anything that isn't independently operated. Hospital-employed positions, academic faculty roles, locum agencies, government clinics, they're all excluded. What's left is a clean list of practices where physicians hold actual ownership and make their own clinical decisions.

If you're evaluating a move to private practice in Alabama, this is a starting point you won't find on a job board. Most boards mix employed positions with ownership opportunities, and they almost never tell you who actually owns the practice. Recruiters aren't much better. This page filters for physician ownership specifically, so you can focus on practices where clinical autonomy isn't just a talking point in an interview. It's built into the ownership structure.

The Alabama neurological surgery market in detail

Alabama's physician-owned neurological surgery directory lists 52 practice locations across 10 cities. The largest group is Winston Capel, MD (2 locations).

None of the neurological surgery practices listed in Alabama carry a PE-Backed or Corporate-Acquired flag. All listings in this directory are physician-owned independent practices verified through NPPES.

Practices span 10 cities including Athens, Birmingham, Foley, and Homewood.

The PGY-Final-Year Path

Once you have the map, here is what to do with it.

The Directory is step one. The course teaches you what the contract actually says. The lawyer makes sure you sign the right one.

1
See what is around you

You are already here. 52 physician-owned neurological surgery groups in Alabama, vetted against NPPES.

2
Read your contract

The Real Contract walks you through every clause that matters: non-compete, productivity, tail coverage, partnership track.

3
Hire the right lawyer

A vetted directory of physician-contract attorneys in Alabama. The person on your side should be one who actually does this work.

Stop being recruited. Start choosing.

Most physicians sign the first thing handed to them.

Now you know what else is around. Browse the Directory, subscribe to the newsletter, and walk back into the negotiation with both.

“You are not unprepared. Nobody handed you the page that comes next.”

Daniel Aragón, MD, MBA

Frequently asked questions about neurological surgery in Alabama

How many Neurological Surgery private practices are in Alabama?

There are 52 physician-owned neurological surgery private practices in Alabama, verified against the NPPES NPI Registry. All are independently operated. Hospital-employed, government, corporate, and academic positions are excluded.

What does physician-owned mean?

A physician-owned practice is one where licensed physicians hold controlling ownership of the business entity. This is distinct from hospital employment, corporate medical groups, or private equity-backed practices where non-physician entities control the business.

What does the Corporate-Acquired or MSO-Affiliated flag mean?

The Corporate-Acquired flag means the practice was historically physician-owned but has since been acquired by a corporate entity such as Optum. The MSO-Affiliated flag means the practice uses a Management Services Organization for billing and administration while physicians retain practice-level ownership.

Private Practice Viability for Neurosurgeons in Alabama

Alabama's physician-owned neurological surgery practices include Alabama Neurosurgical Associates (Birmingham) and North Alabama Neurosurgical Specialists (Huntsville).

What is an NPPES-verified practice?

NPPES is the National Plan and Provider Enumeration System, a federal database maintained by CMS. Every practice in this directory has an active NPI record in NPPES, confirming it is a registered U.S. medical practice.

Is neurosurgery private practice financially viable in Alabama?

Yes, in markets with sufficient case volume and favorable payer mix. Neurosurgery private practice requires a group of sufficient size to share call and operating costs, direct commercial payer contracts above Medicare rates, and ideally ASC or spine surgery center ownership to capture facility fees. Malpractice premiums in neurosurgery are among the highest in medicine ($100,000-$300,000+ annually), confirm whether the practice covers this cost or whether it is deducted from physician compensation before evaluating the net income.

How Physician-Owned Practices Compare

Physician-Owned Hospital-Employed Corporate / PE-Backed
Who controls the practicePhysiciansHealth systemNon-physician entity
Non-compete scopeNarrower, negotiableBroadVery broad
Partnership / buy-in pathCommonRareRare
Call schedule flexibilityHigherVariableLower
Productivity bonus upsideHighModerateModerate
Included in this directoryYesNoFlagged

Key Terms in Physician Contracts

Partnership Buy-In
The purchase of an ownership stake in a physician practice entity, typically offered after an associate track of 2 to 5 years. The buy-in price is calculated using business valuation, a multiple of earnings, or a formula tied to practice receivables. True equity buy-ins include voting rights and profit distributions.
Without-Cause Termination
A contract clause that allows either party to end the employment agreement without stating a reason, typically with 60 to 120 days written notice. The notice period, post-termination obligations (non-compete activation, tail insurance responsibility), and severance terms are negotiable. Shorter notice periods favor the employer.
Call Coverage
The obligation to provide after-hours or weekend coverage for patient emergencies. Contracts should specify call frequency (1 in 4, 1 in 6, etc.), whether call is compensated separately, and whether the physician takes call from home or in-house. Unrestricted call obligations are a common source of physician burnout.
Credentialing
The process by which hospitals and insurance companies verify a physician's education, training, board certification, licensure, and malpractice history before granting privileges or network participation. Credentialing typically takes 60 to 120 days and must be completed before a physician can bill patients under a new practice or facility.
PC (Professional Corporation)
A state-chartered corporation formed by licensed professionals. Physicians use PCs to own and operate their practices with liability separation. Many states require medical practices to be structured as PCs rather than standard LLCs or general partnerships.
Neurosurgery Malpractice Premium
Malpractice insurance premiums for neurosurgeons are among the highest in medicine due to the severity of potential adverse outcomes. Annual premiums typically range from $100,000 to $300,000+ depending on state, subspecialty focus, and claims history. Spine surgery carries higher premiums than cranial surgery in most states.
Spine Surgery ASC
An ambulatory surgery center specializing in spine procedures (microdiscectomy, laminectomy, fusion). Physician ownership of a spine ASC generates facility fees for procedures that would otherwise generate facility revenue for the hospital. Among the highest-revenue ASC types when case mix includes commercial payers.

This directory is maintained by Daniel Aragón, MD, MBA, a physician who just walked this path. All listings are pulled from the (CMS.gov), the federal database of all U.S. medical providers. Hospital-employed, corporate, and government-operated positions are excluded. Last updated: .

Built by Daniel Aragón, MD, MBA, a physician who just walked this path.