Healthcare

Physician Salary in Alabama (2026)

The average Physician in Alabama earns around $270,000/year. After taxes, your estimated take-home is $185,862/year ($15,489/month).

Take-Home Pay Breakdown

CategoryAmount
Annual Take-Home Pay
$185,862
Monthly Take-Home Pay
$15,489
Biweekly Take-Home Pay
$7,149
Hourly Take-Home Pay

based on 2,080 hrs/year

$89/hr
Federal Tax
$57,704
State Tax
$10,450
FICA Taxes
$15,984
Effective Tax Rate

total taxes ÷ gross salary

31.16%
Estimates only — not tax advice. · Full disclaimer →

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Physician Salary Ranges in Alabama

Entry Level (0–3 yrs)

$195,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$270,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$425,000

/year

See tax breakdown →

Not all Physicians earn the same — not even close

Alabama's physician market is anchored by UAB Medicine Birmingham (~25K employees, the only OR academic medical center in AL + only AL medical school + only NCI-designated comprehensive cancer center via O'Neal Comprehensive Cancer Center, AL's largest single employer), Children's of Alabama Birmingham (academic pediatric), Brookwood Baptist Health (Tenet, multi-hospital Birmingham), Princeton Baptist Birmingham, Huntsville Hospital System (~10K, largest hospital system in North AL), USA Health Mobile (academic medical center supporting USA College of Medicine + USA Children's & Women's Hospital), plus Tuscaloosa DCH Health + East Alabama Medical Auburn.

Senior Surgical Subspecialist (UAB)

$565,000–$1,385,000+ TC

UAB cardiothoracic + neurosurgery + transplant + O'Neal Cancer · academic + RVU

Senior Procedural (UAB / Brookwood)

$425,000–$865,000+ TC

Cardiology + GI + interventional radiology · procedure-heavy practice premium

Senior Hospitalist

$245,000–$425,000+ TC

Day + nocturnist hospital medicine · UAB + Brookwood + Huntsville Hospital academic + Magnet

Senior Anesthesiologist

$425,000–$715,000+ TC

UAB + Brookwood + Huntsville Hospital · subspecialty cardiac + pediatric premium

Senior Emergency Medicine

$345,000–$525,000

UAB Level 1 trauma · Huntsville Hospital Level 1 trauma · USA Mobile Level 1 trauma · AL Level 1 centers

Senior Family Medicine / Internal Medicine

$215,000–$355,000

Brookwood + Princeton + Huntsville Hospital + UAB primary care · MGMA-median band

Senior Psychiatrist

$255,000–$445,000

UAB Psychiatry · Birmingham VA · Mary Starke Harper Geriatric Psychiatry Hospital · academic + private

Senior Pediatrician

$205,000–$345,000

Children's of Alabama · USA Children's & Women's · Huntsville Hospital pediatrics · subspecialty band

Mid-Career Generalist (5-10 yrs out)

$195,000–$285,000

Post-residency physician · transitioning to senior + specialty band

Resident / Fellow (PGY)

$62,000–$90,000

UAB ~1,200 residents + fellows · among largest US Southeast academic medical center programs

Worth knowing: UAB Medicine Birmingham is Alabama's only academic medical center + the only NCI-designated comprehensive cancer center via O'Neal Comprehensive Cancer Center + AL's largest single employer — a feature most national physician-compensation surveys understate for AL. UAB Medicine (~25K UAB Medicine employees, founded 1969 via UAB consolidation, the only AL institution granting MD + DDS + PharmD + DPT + DNP + DPS + MPH degrees) operates substantial cardiology + cardiothoracic surgery + neurosurgery + transplant + O'Neal Comprehensive Cancer Center (one of only 53 NCI-designated comprehensive cancer centers nationally + the only NCI center in AL) + Children's of Alabama pediatric + UAB Eye Foundation + UAB Hospital + UAB Heersink School of Medicine. UAB operates Level 1 adult trauma + Children's of Alabama operates Level 1 pediatric trauma. Senior UAB surgical subspecialists clear $565K-$1.39M+ TC. Huntsville Hospital System (~10K employees + ~880-bed flagship Huntsville Hospital + multiple satellite hospitals, the largest hospital system in North AL) operates the second Level 1 adult trauma center in AL + substantial cardiology + neurosurgery + transplant programs supporting the Huntsville defense + aerospace community. USA Health Mobile (academic medical center supporting USA College of Medicine + USA Children's & Women's Hospital + USA University Hospital) operates the only academic medical center in South AL + Level 1 adult trauma. AL joined IMLC in 2018. AL's 5% top + Federal Income Tax Deduction substantially reduces effective state tax + AL no estate tax + RTW since 1953 + lower cost of living supports senior physician retention.

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