We're a small, physician-led practice. That means unhurried visits, a direct line to your doctor, and a long-term plan for your health, built on evidence and on actually knowing you.
Most of the health care system is built for volume. We built Valiant for you.
Direct primary care (DPC) is a membership. You pay one annual fee directly to your doctors. No co-pays and no bill for every visit. In return, you get unhurried appointments, a direct way to reach us, and care that's centered on you instead of on billing codes.
We handle everything from colds and chronic conditions to hormone care and prevention, all under one membership. Lab work and prescriptions still run through your insurance, the way they would with any physician.
Thorough labs and diagnostics, and a care plan built around your numbers and your goals, not a template.
A direct line to your physician. No waiting rooms, no call center, no runaround to get a referral.
We don't just treat problems when they show up. We work with you to stay healthy for decades to come.
Valiant started as a practice for men, and men's health is still at the heart of what we do. Now we're opening our doors wider, because the same unhurried, prevention-first care makes sense for everyone.
Where Valiant started: primary care, hormone health, metabolic health, and screening, with the time to cover it all.
The same relationship-based primary care, prevention, and metabolic and longevity focus, with screening matched to your age and history.
One practice for the household. Spouses, partners, and family members 16 and up can share the same doctors and the same easy access.
Companies can sponsor Valiant memberships for their team, so their people have a doctor they can actually reach.
Every program comes with the same doctors, the same access, and the same unhurried approach. What changes is who it's built around.
Our core membership: relationship-based primary care with the time to actually cover everything.
$3,500 per member per year.
For members who want a closer, more frequent look at their health.
$8,000 per year.
For companies that want their leaders and teams to have a doctor they can actually reach.
Same programs, same prices.
These are all part of the care we provide. We pick the ones that make sense for you.
The foundation of everything we do: sick visits, chronic conditions, medications, referrals, and routine care, with the time primary care was always supposed to have.
A thorough 60-minute evaluation, not a quick checkup. We review your history, labs, heart health, and body composition, then plan the year ahead with you.
A complete hormone evaluation, then a plan based on evidence and on your own labs and goals. We look at testosterone, thyroid, cortisol, and more.
Peptides are short chains of amino acids that act as signals in the body. When they fit your plan, we prescribe and monitor them, using licensed U.S. compounding pharmacies.
Screening matched to your age, sex, and family history, so we can look for problems early, when they're easier to treat.
House calls are our standard, included throughout the Richmond area. Virtual visits work well for follow-ups, lab reviews, and non-urgent questions.
Here's what working with us looks like, from your first conversation on.
A 60-minute conversation about your history, lifestyle, goals, and concerns. Usually at your home, or virtually if you prefer. No rushing, no templates.
Labs, biomarker panels, and imaging if you need it, to get a full picture of where you are today.
We build a plan around your results and preferences: nutrition, sleep, stress, hormones, prevention, and more.
Regular check-ins, easy access to us, and a plan that changes as your life does. This is a long-term relationship.
One annual fee covers your access to us: visits, consultations, direct contact, and care across all of our programs. No per-visit charges, and no surprises.
Everything you need from a primary care practice, plus the time to do it well.
For members who want a closer, more frequent look at their health.
Companies can sponsor the Valiant Health Program for their team, and Valiant Premier for leaders. Same programs, same prices.
Membership covers your access to us and your visits. Lab work and prescriptions go through your insurance, the way they would with any physician (Valiant Premier includes its quarterly SiPhox lab draws). Valiant membership is not health insurance, and we recommend keeping coverage for hospital, specialist, and emergency care.
Direct primary care isn't insurance, and it isn't meant to replace it. Keep your coverage for hospital stays, specialists, surgery, and emergencies. Valiant takes care of the everyday part, and the two work well together.
A note on HSAs: Starting in 2026, federal rules let some direct primary care memberships sit alongside a health savings account, but only below set monthly fee limits and other conditions. Valiant's membership fees are above those limits, so please talk with your plan administrator or tax advisor about HSA rules before using or contributing to an HSA while you're a member.
Two board-certified internal medicine physicians who left the volume-driven system to practice medicine the way they think it should be practiced.
Steven Bishop, MD, is board-certified in Internal Medicine by the American Board of Internal Medicine and a member of the Alpha Omega Alpha Medical Honor Society. He earned his medical degree at the University of Virginia School of Medicine and completed his internal medicine residency at Virginia Commonwealth University Medical Center, where he served as Chief Resident. He then joined the VCU faculty, becoming Associate Professor and Associate Chair for Education in the Department of Internal Medicine.
Rushed appointments and a system built around billing codes led Dr. Bishop from academic medicine to concierge and direct primary care, where he could build an unhurried, trusted partnership with each patient.
His clinical interests include preventive medicine, men's hormonal health, metabolic health, and nutrition, particularly low-carbohydrate and ketogenic approaches to chronic disease. He's also Chief Medical Officer of Commonwealth Sterile Solutions, which gives him a practical view of how care is delivered at scale.
Bo Vaughan, MD, is a board-certified Infectious Diseases and Internal Medicine physician, clinical researcher, and Richmond native. He studied at Washington and Lee University, earned his medical degree at Virginia Commonwealth University, and completed residency at the University of Maryland Medical Center, where he served as Chief Resident in Internal Medicine before specializing in infectious diseases.
Dr. Vaughan spent more than a decade caring for veterans in the Veterans Health Administration in Baltimore and Richmond. During COVID-19 he served as Hospital Epidemiologist at the Hunter Holmes McGuire VA Medical Center and helped design and run one of Virginia's first outpatient monoclonal antibody infusion programs.
As Medical Director of Clinical Research Partners, he has led Phase II, III, and IV clinical trials of new antiviral and infectious disease treatments. He also serves as President of the Virginia Board of Medicine.
Practice Meet-Ups are members-only gatherings where you can get to know your doctors and fellow members, take part in group health programs, and swap experiences with people who care about living well too.
They're included in every membership.
How Valiant works, and how direct primary care is different from insurance-based medicine.
Apply for MembershipDirect primary care (DPC) is a membership model. You pay a flat annual fee directly to your physician, with no co-pays and no per-visit charges. In exchange, you get unlimited access to your doctor, longer appointments, and care that's centered on you rather than on billing codes.
No. Valiant started as a men's practice, and men's health is still a big part of what we do, but we care for women too, and employers can sponsor memberships for their teams. Same doctors, same approach.
We changed our name to Valiant Medicine now that we care for women as well as men. Nothing about your care has changed: same doctors, same approach, same membership. If you have questions about your membership, just email us.
Your annual membership covers all physician access: unlimited visits (house calls are standard, and virtual visits are available too), 60-minute consultations, direct physician contact, care coordination, and everything we offer, including primary care, hormone optimization, cancer screening, and peptide therapy. Lab work and prescriptions go through your insurance, as they would with any physician.
Valiant Premier is our executive program, at $8,000 a year. It includes everything in the Valiant Health Program, plus a SiPhox Health Ultimate 360 lab panel drawn at home every 3 months, and 6 metabolic and functional assessments a year from MetaFitRx, such as VO2 max, resting metabolic rate (RMR), and DEXA scans. If you're interested, just ask Dr. Bishop or Dr. Vaughan.
Yes. DPC covers your primary care needs, but we recommend keeping health insurance for unexpected hospital stays, surgery, or specialist care outside of primary care. Valiant pairs especially well with a high-deductible health plan.
Lab work and prescriptions go through your regular insurance, just as they would with any physician. We help coordinate the process and are happy to talk through costs up front. Valiant Premier members' quarterly SiPhox lab draws are included in their membership.
House calls are our standard way of seeing you. We come to you throughout the Richmond area, and it's included in your membership with no added fees. Virtual visits use a secure video platform and work well for follow-ups, medication management, lab reviews, and non-urgent concerns. You can usually be seen the same day you reach out.
Members can reach Dr. Bishop and Dr. Vaughan directly by phone, text, and secure message. You won't go through a call center or an after-hours answering service. For urgent concerns, we typically respond within the hour during normal hours. For an emergency, call 911.
Traditional concierge practices usually charge a membership fee on top of billing your insurance for visits. Valiant is a direct primary care practice: your membership covers physician access and visits directly, with no insurance billing for those services. Labs and prescriptions still go through your insurance.
Yes. Companies can sponsor memberships for their team in the Valiant Health Program, and Valiant Premier for leaders and executives. Same programs, same prices, and we can come to your office for visits. Email us and we'll talk through what makes sense for your company.
We care for patients age 16 and up.
Send us a membership inquiry using the form below. We'll set up a short introductory call to make sure Valiant is a good fit, go over the membership fee, and answer your questions before you enroll.
Tell us a little about yourself and we'll reach out to set up a short introductory call. No pressure, just a conversation.
We got your note and we'll be in touch soon to set up a short introductory call.
If you don't hear from us in a couple of days, email hello@valiantmedicine.com.
