| Buena Vista | SW Warren County near the Franklin County line, was formerly the home, office, and tavern of Dr. Robert Christian Pritchard. See also Bearpond. |
| Buff Creek | rises in N Jackson County and flows S into Scott Creek. |
| Buffalo | community in NE Cherokee County at the mouth of Gipps Creek. |
| Buffalo | community in NE Stokes County near the head of Buffalo Creek. |
| Buffalo Branch | rises in W Johnston County and flows S into Middle Creek. |
| Buffalo Branch | rises in S Wake County and flows S into W Johnston County, where it enters Middle Creek. |
| Buffalo Branch | rises in W Warren County and flows S into Shocco Creek. Mentioned in local records as early as 1764. |
| Buffalo City | community on the mainland, W Dare County. Settled 1888. Named for Buffalo City Mills, former sawmill there. Alt. 10. |
| Buffalo Cove | community in N Caldwell County. Named for the cove in which many buffalo were killed. Settled late eighteenth century. |
| Buffalo Creek | rises in NW Anson County and flows E into Pee Dee River. |