Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Thomas Gibson

Individual provider Procedural Dermatology Physician · NPI 1629604483

Frederick Thomas Gibson is a Dermatology in Jamaica Plain, Massachusetts. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2021, 5 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone: (617) 983-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273
  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500
  • 1 Boston Medical Center Place, Boston, MA 02118 — (617) 638-8000
  • 2014 Washington St, Newton, MA 02462-1607 — (617) 243-6000

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 1023149 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 289211 (MA)

Record details

NPI number1629604483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2020
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address60 Charlesgate W Apt 3a, Boston, MA 02215-2103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2021 (5 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount