| West Bay | S extension of Pamlico Sound between Piney Island and Cedar Island in NE Carteret County. |
| West Bear Creek | rises in E Wayne County and flows SE into Bear Creek. |
| West Beaver Creek | rises in S Ashe County and flows SE into Beaver Creek. |
| West Belews Creek | rises in E Forsyth County and flows NE into S Stokes County and into Belews Creek. Also known as Left Fork Belews Creek and, in Stokes County, as Little Belews Creek. |
| West Bend | community in W Forsyth County in a bend of Yadkin River. |
| West Bladenboro | town in SW Bladen County adjacent to Bladenboro, which see. Inc. 1913, but no longer active in municipal affairs. |
| West Bluff Bay | in Pamlico Sound W of Bluff Point in S Hyde County. |
| West Branch | rises in central Madison County and flows SE into Walnut Creek. |
| West Branch | rises in N Mecklenburg County and flows SE into Rocky River. |
| West Branch | rises in W Warren County and flows N into Malones Creek. |